OrganizationActive
Alive & Well Healing Arts, PC
NPI 1972749604 · Naturopath · Portland, OR
Provider details
- NPI number
- 1972749604
- Entity type
- Organization
- Primary specialty
- NaturopathOther Service Providers
- Organization subpart
- No
- Authorized official
- Daivati Bharadvaj, Owner(503) 484-8647
- License
- 1297 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
9900 Sw Wilshire St # 190-D
Portland, OR 97225-5035
Phone: (503) 484-8647
Fax: (503) 297-3827
Approximate (ZIP-level) locationGet directions
Mailing address
9900 Sw Wilshire St # 190-D
Portland, OR 97225-5035
Registry dates
- Enumerated
- 2008-12-30
- Last updated
- 2008-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.