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Active NPI 1154791275 Organization (Entity Type 2) Subpart Facility

Forest Medicine Llc

Naturopath • Gresham, OR

Parent Organization: 94985497

About Forest Medicine Llc NPI 1154791275 Summary

Forest Medicine Llc is a verified healthcare organization specializing in Naturopath operating in Gresham, OR. Located at 22400 SE STARK ST STE 105, this facility provides patient care and medical services under National Provider Identifier (NPI) 1154791275.

Forest Medicine Llc operates as a subpart facility of 94985497. Administrative operations and authorized compliance are overseen by Kathryn Kloos (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

22400 Se Stark St Ste 105

Gresham, OR 970302656

Telephone 5032500440

Authorized Official Information

Authorized Contact Name

DR. Kathryn Kloos , N.D.

Title / Role

Owner

Official Telephone

5032500440

Facility Classifications & Specialties

Naturopath Primary Taxonomy

NUCC Taxonomy Code: 175F00000X

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 01, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 01, 2015

Registered at 22400 SE STARK ST STE 105, GRESHAM, OR 970302656 (Tel: 5032500440)

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Updated Business Mailing Address October 01, 2015

Registered at PO BOX 116, CORBETT, OR 970190116 (Tel: 5032500440)

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Organization / Clinic Name Updated October 01, 2015

Operating as FOREST MEDICINE LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2015

Naturopath (License #1798 in OR)

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Initial NPI Registration & Enumeration October 01, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1154791275
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 01, 2015
Last Update: October 01, 2015

Mailing Address

Po Box 116

Corbett, OR 970190116

Phone: 5032500440

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.