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INTEGRATIVE THERAPIES FOR CANCER & CHRONIC DISEASE INC
NPI 1063851046
Nurse Practitioner - Family in Portland, ME

Active since June 23, 2013
222 AUBURN ST STE 103, PORTLAND, ME 04103(207) 699-3838 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Integrative Therapies For Cancer & Chronic Disease Inc NPPES

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

INTEGRATIVE THERAPIES FOR CANCER & CHRONIC DISEASE INC (NPI 1063851046) is a healthcare organization registered as a family in Portland, Maine and active in the NPI registry since June 2013. The organization lists Colleen Tetzlaff, Owner, as its authorized official.

NPPES Registry Identity

NPI1063851046
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATIVE THERAPIES FOR CANCER & CHRONIC DISEASE INC
Location Address222 AUBURN ST STE 103Portland, ME 04103-6005
Mailing Address222 Auburn St Ste 103Portland, ME 04103-6005 · (207) 699-3838
Phone(207) 699-3838
Organization SubpartNo
Authorized OfficialColleen TetzlaffOwner · (207) 699-3838
Enumeration DateJune 23, 2013
Last NPPES UpdateMay 22, 2019
✔ NPI 1063851046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · NP548701
222 AUBURN ST STE 103, Portland, ME 04103
Open in Google Maps ↗

Other Identifiers 1

Medicaid432379199ME

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

BRENDA RUMERY MT
Specialist
222 AUBURN ST STE 103
PORTLAND, ME 04103
Cumberland County (207) 939-0855
EMILY KATHERINE WILSON
Physical Therapist
222 AUBURN ST STE 103
PORTLAND, ME 04103
Cumberland County (207) 200-6293
PELVIC WISDOM, LLC
Clinic/Center (Physical Therapy)
222 AUBURN ST STE 103
PORTLAND, ME 04103
Cumberland County (207) 200-6293
PAMELA R DAVENPORT SOCIAL WORKER
Social Worker
222 AUBURN ST STE 103
PORTLAND, ME 04103
Cumberland County (207) 616-1127
CAMDEN CHANDLER
Social Worker
222 AUBURN ST STE 103
PORTLAND, ME 04103
Cumberland County (207) 616-1127
JA'LAHYA STOKES
Social Worker (Clinical)
222 AUBURN ST STE 103
PORTLAND, ME 04103
Cumberland County (662) 816-4121
LYNTAVIA SMITH LMSW
Social Worker
222 AUBURN ST STE 103
PORTLAND, ME 04103
Cumberland County (207) 616-1127

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 Integrative Therapies For Cancer & Chronic Disease Inc's NPI number?

The NPI number for Integrative Therapies For Cancer & Chronic Disease Inc is 1063851046. It was assigned to this organization in the NPPES registry on June 23, 2013.

Where is Integrative Therapies For Cancer & Chronic Disease Inc located?

Integrative Therapies For Cancer & Chronic Disease Inc is located at 222 Auburn St Ste 103, Portland, ME 04103. The listed phone number is (207) 699-3838.

What is Integrative Therapies For Cancer & Chronic Disease Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Integrative Therapies For Cancer & Chronic Disease Inc was last updated on May 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.