Provider Demographics
NPI:1679317861
Name:A NATURAL BALANCE HEALTH CARE, LLC
Entity type:Organization
Organization Name:A NATURAL BALANCE HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KLECKLER
Authorized Official - Suffix:
Authorized Official - Credentials:ND LAC
Authorized Official - Phone:503-997-1635
Mailing Address - Street 1:17800 NE 37TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-3734
Mailing Address - Country:US
Mailing Address - Phone:503-997-1635
Mailing Address - Fax:360-843-1629
Practice Address - Street 1:2402 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3229
Practice Address - Country:US
Practice Address - Phone:360-241-6630
Practice Address - Fax:360-843-1629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty