FULL BLOOM NATURAL MEDICINE
NPI 1871153585
Clinic/Center - Primary Care in Corvallis, OR

Q: What is Full Bloom Natural Medicine, LLC's NPI number?

The NPI number for Full Bloom Natural Medicine, LLC is 1871153585. It was assigned to this organization in the NPPES registry on June 14, 2019. The provider is doing business as Full Bloom Natural Medicine. The provider was formerly known as Mary J Boucher, ND.

Q: What is Full Bloom Natural Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since June 14, 2019

922 NW CIRCLE BLVD STE 180, CORVALLIS, OR 97330(541) 224-6738 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2019, Jun 14, 2019 (2 updates tracked since 2019).

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About Full Bloom Natural Medicine NPPES

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

FULL BLOOM NATURAL MEDICINE (NPI 1871153585) is a healthcare organization registered as a primary care in Corvallis, Oregon and active in the NPI registry since June 2019. The organization lists Mary Boucher, Dr., as its authorized official.

NPPES Registry Identity

NPI1871153585

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameFULL BLOOM NATURAL MEDICINE, LLC

Location Address922 NW CIRCLE BLVD STE 180Corvallis, OR 97330-1483

Mailing Address922 Nw Circle Blvd Ste 180Corvallis, OR 97330-1483 · (541) 224-6738

Phone(541) 224-6738

Organization SubpartNo

Authorized OfficialMary BoucherDr. · (541) 224-6738

Enumeration DateJune 14, 2019

Last NPPES UpdateDecember 9, 20192 updates tracked since enumeration

✔ NPI 1871153585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

922 NW CIRCLE BLVD STE 180, Corvallis, OR 97330

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Other Names 2

Doing Business AsFull Bloom Natural Medicine

Former Legal Business NameMary J Boucher, Nd

Other Providers at the Same Location NPPES

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

MARY J BOUCHER ND

Naturopath

922 NW CIRCLE BLVD STE 180
CORVALLIS, OR 97330

Benton County (541) 224-6738

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 Full Bloom Natural Medicine, LLC's NPI number?

The NPI number for Full Bloom Natural Medicine, LLC is 1871153585. It was assigned to this organization in the NPPES registry on June 14, 2019. The provider is doing business as Full Bloom Natural Medicine. The provider was formerly known as Mary J Boucher, ND.

Where is Full Bloom Natural Medicine, LLC located?

Full Bloom Natural Medicine, LLC is located at 922 NW Circle Blvd Ste 180, Corvallis, OR 97330. The listed phone number is (541) 224-6738.

What is Full Bloom Natural Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Full Bloom Natural Medicine, LLC was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.