Earth Source Medicine

  • 1164952495 NPI Number
  • |
  • Actived: 6 years ago
  • |
Earth Source Medicine is a health care provider based in Astoria, OR. The NPI Number is 1164952495 and it has been active since 6 years ago. The specialty is Clinic/Center, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinic/Center services, Earth Source Medicine is an excellent option. We are here to help you get the care you need.

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Overview of Earth Source Medicine

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/19/2017
  • Last updated: 07/06/2021

Primary Scrop of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: unknow
  • License State: OR

Provider Mailing Address

  • Address: 1490 Commercial St Ste 200
    Astoria, OR 97103
  • Phone: 503-741-3636
  • Fax:

Provider Practice Location

  • Address: 1490 Commercial St Ste 200
    Astoria, OR 97103
  • Phone: 503-741-3636
  • Fax:

Authorized Official

  • Name: DR. Carolyn Iacullo Nygaard N.D
  • Position/Title: Owner
  • Telephone Number: 503-741-3636

Scope of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number:
  • License State: OR
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 500642404
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Earth Source Medicine?
  • A: The npi number for Earth Source Medicine is 1164952495.
  • Q: What are Earth Source Medicine's specialties?
  • A: Earth Source Medicine's specialties are Clinic/Center and different specialities.
  • Q: Where is Earth Source Medicine business practice location?
  • A: Earth Source Medicine business practice location is 1490 Commercial St Ste 200, Astoria, OR 97103.
  • Q: How to contact Earth Source Medicine?
  • A: You can contact Earth Source Medicine via 503-741-3636.
  • Q: What is the authorized official for Earth Source Medicine?
  • A: The authorized office name is DR. Carolyn Iacullo Nygaard N.D with position/title is Owner and you can reach the authorized official via phone number 5037413636.
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