NATIONAL COLLEGE OF NATURAL MEDICINE (NPI# 1134369978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134369978 |
| Entity Type | Organization |
| Organization Name | NATIONAL COLLEGE OF NATURAL MEDICINE |
| Practice Address |
3025 Sw Corbett Ave Portland OR 97201-4858 |
| Practice Telephone | 5035521551 |
| Practice Fax Number | 5032268133 |
| Mailing Telephone | 5035521551 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | REGINA IDA DEHEN (CMO AND DEAN OF CLINICS) |
| Authorized Official Telephone | 5035521551 |
| Authorized Official Credential | NC, LAC |
| Is Organization Subpart | Y |
| Parent Organization Name | NATURAL COLLEGE OF NATURAL MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0879 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BLUE CROSS BLUE SHIELD | 025087000 | 01 |
| OR | 137646 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982991139 | National College of Natural Medicine | Non-Pharmacy Dispensing Site | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2011-07-07 |
| 1962612200 | National College of Natural Medicine | Student in an Organized Health Care Education/Training Program | 2232 Nw Pettygrove St, Portland, OR 97210-2608 | 2007-05-23 |
| Street Address |
3025 SW CORBETT AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201-4858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083793079 | Joon Hee Lee | Acupuncturist | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2006-11-02 |
| 1952952707 | Sierra Goncharoff | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2019-09-24 |
| 1679124473 | Courtney Kathleen Pickworth | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2019-09-23 |
| 1285284299 | Matthew Brown | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2019-09-12 |
| 1528629441 | Aubrey Corbett | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2019-06-21 |
| 1093376022 | Angela Hardin | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2019-06-20 |
| 1376028480 | Karissa Rae Deane | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2018-09-25 |
| 1457836579 | Brittany Lauren Krake | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2018-09-25 |
| 1578047643 | Christopher Alan Randolph | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2018-09-24 |
| 1457835704 | Brittany Blackford | Naturopath | 3025 Sw Corbett Ave, Portland, OR 97201-4858 | 2018-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1225659063 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 | 2020-05-04 |
| 1063033801 | Aaron Kinn | Student in an Organized Health Care Education/Training Program | Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 | 2020-05-04 |
| 1487275442 | Erin Aleen Ostlie-madden | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-04-30 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1780172619 | Susan Elizabeth Christian Barrios | Social Worker | 1505 Sw College St, Portland, OR 97201 | 2018-04-26 |
| 1730696576 | Fiona Everett | Counselor | 1703 Sw Clay St, Portland, OR 97201 | 2018-01-02 |
| 1437678844 | Akira Thomas Neilsen | Student in an Organized Health Care Education/Training Program | 1930 Sw River Drive, Unit 102, Portland, OR 97201 | 2017-09-18 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| Find all providers in zip 97201 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1023511698 | Housecall Md LLC | Clinic/Center | 3715 Sw Marquam Hill Rd, Portland, OR 97239-1454 | 2018-03-09 |
| 1053859959 | Vera Whole Health | Clinic/Center | 400 Sw 6th Ave, Suite 915, Portland, OR 97204-1628 | 2017-02-10 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| 1154725224 | Thriving Force, LLC | Clinic/Center | 4426 Ne 35th Ave, Portland, OR 97211-7735 | 2014-10-17 |
| 1679981070 | Roots Health Clinic LLC | Clinic/Center | 330 Ne 102nd Ave, Portland, OR 97220-4107 | 2014-07-29 |
| 1558792309 | North By Northeast Community Health Center | Clinic/Center | 3030 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2013-12-04 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.