ELEMENTAL MEDICINE (NPI# 1316241078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316241078 |
| Entity Type | Organization |
| Organization Name | ELEMENTAL MEDICINE |
| Practice Address |
2915 Se Belmont St Suite 1 Portland OR 97214 |
| Practice Telephone | 5035059677 |
| Mailing Telephone | 5035059677 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |
| Authorized Official Name | DR. CARRIE N EBLING (PARTNER) |
| Authorized Official Telephone | 5035059677 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
AC153123 | OR | Ambulatory Health Care Facilities |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
8058 | OR | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
3917 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Elemental Medicine LLC | 11863 Springs Road, Suite 255, Conifer, CO 80433 |
| Oregon Corporations, Companies and Business Names | ELEMENTAL MEDICINE, LLC | 2915 Se Belmont St Ste 1, Portland, OR 97214 |
| Street Address |
2915 SE BELMONT ST SUITE 1 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568643914 | Jeanne E. Kennedy Crosby | Chiropractor | 2915 Se Belmont St, Portland, OR 97214-4084 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1255844908 | Affordable Health Care & Chiropractic Inc | Clinic/Center | 2130 Se 96th Ave, Portland, OR 97216-2603 | 2017-11-15 |
| 1548309776 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1023 Ne Emerson St, Portland, OR 97211-4336 | 2007-02-05 |
| 1144369356 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3909 Se 70th Avenue, Portland, OR 97206-2525 | 2007-02-05 |
| 1841360161 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2006-11-08 |
| 1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
| 1215006606 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 959 Ne 165th Ave, Portland, OR 97230-6148 | 2006-11-07 |
| 1982783965 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 7003 Se Woodstock Blvd, Portland, OR 97206-5940 | 2006-11-02 |
| 1225115595 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1232 Nw 23rd Ave, Portland, OR 97210-2906 | 2006-11-01 |
| 1710064035 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 2270 Se 39th Ave, Portland, OR 97214-5916 | 2006-11-01 |
| 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.