OrganizationBeaverton Naturopathic MedicineNaturopathOther Service ProvidersPractice Address4085 SW 109th Ave, Suite 200, Beaverton, OR 97005-3000(503) 643-1024PECOS EnrollmentBased on the most recent information from CMS, provider Beaverton Naturopathic Medicine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1407029457Provider TypeOrganizationFull NameBeaverton Naturopathic MedicineSubpartNoEnumeration Date4/10/2008Last Updated4/10/2008Contact InformationPractice LocationPractice Address4085 SW 109th Ave, Suite 200, Beaverton, OR 97005-3000Phone(503) 643-1024FaxUnlisted FaxMailing LocationMailing Address4085 SW 109th Ave, Suite 200, Beaverton, OR 97005-3000Phone(503) 643-1024FaxUnlisted FaxAuthorized OfficialNamePeabody, Judy Evelyn (Owner)Phone(503) 643-1024Provider TaxonomiesCodeDescriptionLicenseCode175F00000XPrimaryDescriptionNaturopathOther Service ProvidersLicense0704Oregon