Full Bloom Natural Medicine, LLC
NPI 1871153585 · Primary Care Clinic/Center · Corvallis, OR
Full Bloom Natural Medicine, LLC is a Primary Care Clinic/Center organization in Corvallis, OR (NPI 1871153585).
Provider details
- NPI number
- 1871153585
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Boucher, Dr.(541) 224-6738
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Full Bloom Natural Medicine
- Doing business as
- Full Bloom Natural Medicine
- Former legal business name
- Mary J Boucher, Nd
Registry dates
- Enumerated
- 2019-06-14
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Frequently asked questions
- What is Full Bloom Natural Medicine, LLC's NPI number?
- Full Bloom Natural Medicine, LLC's National Provider Identifier (NPI) is 1871153585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Full Bloom Natural Medicine, LLC?
- Full Bloom Natural Medicine, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Full Bloom Natural Medicine, LLC located?
- Full Bloom Natural Medicine, LLC's practice location on file with NPPES is 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483.
- What is Full Bloom Natural Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Full Bloom Natural Medicine, LLC is (541) 224-6738.
- Who is the authorized official for Full Bloom Natural Medicine, LLC?
- The authorized official listed on Full Bloom Natural Medicine, LLC's NPPES record is Mary Boucher, Dr.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Full Bloom Natural Medicine, LLC's NPI active?
- Yes — Full Bloom Natural Medicine, LLC's NPI (1871153585) is active in the NPPES registry as of the last update on 2019-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.