DR.NITI'S NATURALWAYS PEDIATRICS (NPI# 1366754590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366754590 |
Entity Type | Organization |
Organization Name | DR.NITI'S NATURALWAYS PEDIATRICS |
Other Organization Name | NATURALWAYS PEDIATRICS |
Practice Address |
1815 Nw Flanders St Suite 104 Portland OR 97209-2060 |
Mailing Address |
1815 Nw Flanders St Ste 104 Portland OR 97209-2060 |
Practice Telephone | 5032241224 |
Practice Fax Number | 5032241353 |
Mailing Telephone | 5032241224 |
Mailing Fax Number | 5032241353 |
Enumeration Date | 2010-07-02 |
Last Update Date | 2010-07-02 |
Authorized Official Name | DR. NITIKUL SOLOMON (PRESIDENT) |
Authorized Official Telephone | 5032241224 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1389865-0 | OR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 025923 | 05 | |
NPI (INDIVIDUAL PRACTITIONER) | 1508833047 | 01 |
Other Name | Type Code |
---|---|
Naturalways Pediatrics | Other Name - Individual/Organization |
Street Address |
1815 NW FLANDERS ST SUITE 104 |
City | PORTLAND |
State | OR |
Zip Code | 97209-2060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225257637 | Bonnie B Mclean | Social Worker | 1815 Nw Flanders St, Ste. 101, Portland, OR 97209-2060 | 2007-04-24 |
1316342116 | Margaret Boyd | Massage Therapist | 1815 Nw Flanders St, Portland, OR 97209-2060 | 2014-10-23 |
1679993240 | Claire J Lauder | Massage Therapist | 1815 Nw Flanders St, L102 & 202, Portland, OR 97209-2060 | 2014-04-23 |
1821439449 | Hannah Leigh Edlefsen | Massage Therapist | 1815 Nw Flanders St, Suite L102, Portland, OR 97209-2060 | 2013-07-11 |
1790079101 | Tod Evan Fiste | Counselor | 1815 Nw Flanders St, Suite 101, Portland, OR 97209-2060 | 2011-06-02 |
1265694251 | Mark J Girard | Social Worker | 1815 Nw Flanders St, Ste 203, Portland, OR 97209-2060 | 2008-06-30 |
1356544647 | Christine Genevieve Glenn | Psychologist | 1815 Nw Flanders St, Portland, OR 97209-2060 | 2007-06-06 |
1679786685 | Candice Hammett Everett | Social Worker | 1815 Nw Flanders St, Suite 202, Portland, OR 97209-2060 | 2007-05-07 |
1578784476 | Suzan A Anson | Psychologist | 1815 Nw Flanders St, Suite 102, Portland, OR 97209-2060 | 2007-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
Find all providers in zip 97209 |
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.