METAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC
NPI 1386785772
Clinic/Center - Medical Specialty in Portland, OR
- Organization
- Clinic/Center
- Medical Specialty
About METAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC
This page provides the complete NPI Profile along with additional information for Metamorphosis Center For Holistic Medicine, Llc, a provider established in Portland, Oregon operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1386785772 assigned on February 2007. The practitioner's primary taxonomy code is 261QM2500X with license number MD12762 (OR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's former legal business name is Debra Glasser Green, M.d.. The authorized official of this NPI record is Debra Glasser Green M.d. (Owner Physician)
- NPI
- 1386785772 Verify this NPI
- Provider Legal Name
- METAMORPHOSIS CENTER FOR HOLISTIC MEDICINE, LLC
- Other Organization Name
- DEBRA GLASSER GREEN, M.D.
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 5909 SE DIVISION ST PORTLAND, OR 97206
- Location Phone
- (503) 234-1531
- Location Fax
- (503) 234-2367
- Mailing Address
- 5909 SE DIVISION ST PORTLAND, OR 97206
- Mailing Phone
- (503) 234-1531
- Mailing Fax
- (503) 234-2367
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-09-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD12762
- License State
- OR
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
PORTLAND, OR 97206
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386785772, enumerated as an "organization" on February 09, 2007.
The provider is located at 5909 SE DIVISION ST PORTLAND, OR 97206 and the phone number is (503) 234-1531.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
