TIGARD HOLISTIC HEALTH CLINIC, LLC
NPI 1053670117
Clinic/Center in Tigard, OR

Active since May 10, 2012
11930 SW GREENBURG RD, TIGARD, OR 97223(503) 639-1712 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tigard Holistic Health Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIGARD HOLISTIC HEALTH CLINIC, LLC (NPI 1053670117) is a healthcare organization registered as a clinic/center in Tigard, Oregon and active in the NPI registry since May 2012. The organization lists Stacey Lynn Raffety, Owner, as its authorized official.

NPPES Registry Identity

NPI1053670117
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTIGARD HOLISTIC HEALTH CLINIC, LLC
Location Address11930 SW GREENBURG RDTigard, OR 97223-6453
Mailing Address11930 Sw Greenburg RdTigard, OR 97223-6453 · (503) 639-1712
Organization SubpartNo
Authorized OfficialStacey Lynn RaffetyOwner · (503) 639-1712
Enumeration DateMay 10, 2012
NPI 1053670117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in OR · 0855
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11930 SW GREENBURG RD, Tigard, OR 97223

Other Identifiers 1

Other1003861493OR · Naturopathic

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Naturopath
11930 SW GREENBURG RD
TIGARD, OR 97223
Pain Medicine (Interventional Pain Medicine)
11930 SW GREENBURG RD
TIGARD, OR 97223
Psychiatry & Neurology (Pain Medicine)
11930 SW GREENBURG RD
TIGARD, OR 97223
Non-Pharmacy Dispensing Site
11930 SW GREENBURG RD
TIGARD, OR 97223
Clinic/Center
11930 SW GREENBURG RD
PORTLAND, OR 97223
Naturopath
11930 SW GREENBURG RD
TIGARD, OR 97223
Nutritionist
11930 SW GREENBURG RD
TIGARD, OR 97223
Acupuncturist
11930 SW GREENBURG RD
TIGARD, OR 97223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tigard Holistic Health Clinic, LLC's NPI number?

The NPI number for Tigard Holistic Health Clinic, LLC is 1053670117. It was assigned to this organization in the NPPES registry on May 10, 2012.

Where is Tigard Holistic Health Clinic, LLC located?

Tigard Holistic Health Clinic, LLC is located at 11930 SW Greenburg Rd, Tigard, OR 97223. The listed phone number is (503) 639-1712.

What is Tigard Holistic Health Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Tigard Holistic Health Clinic, LLC was last updated on May 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.