| Organization Name: | CALYPSO NATURAL CLINIC |
| NPI Number: | 1043699366 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA HOFFMAN (PRESIDENT CEO) |
| Mailing Address: | 2274 Sw 2nd St Ste C Mcminnville |
| State: | OR US |
| Postal Code: | 971285597 |
| Phone Number: | 5034725500 |
| Fax Number: | 5034341224 |
| NPI Enumeration Date: | 05/19/2015 |
| NPI Last Update Date: | 05/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 1685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |