| Garden Pure | |
|
4085 Sw 109th Ave Ste 200 Beaverton OR 97005-3000 | |
| (503) 643-1024 | |
| (503) 644-1293 |
| Full Name | Garden Pure |
|---|---|
| Speciality | Clinic/center |
| Location | 4085 Sw 109th Ave Ste 200, Beaverton, Oregon |
| Authorized Official Name and Position | Chris D Meletis (NATUROPATHIC PHYSICIAN) |
| Authorized Official Contact | 5036431024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Pure 4085 Sw 109th Ave Ste 200 Beaverton OR 97005-3000 Ph: (503) 643-1024 | Garden Pure 4085 Sw 109th Ave Ste 200 Beaverton OR 97005-3000 Ph: (503) 643-1024 |
| NPI Number | 1174801005 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174801005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0767 (Oregon) | Primary |
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