Organization Active NPI

Pathfinder Wellness, LLC

  • Acupuncturist
  • Tualatin, OR
National Provider Identifier
1003206079
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PATHFINDER WELLNESS, LLC
Practice address
6464 SW Borland Rd Ste B6
Tualatin, OR 97062-8859
Phone
(503) 489-8480
Fax
(502) 922-3048
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Julia Walls, DACMNPI 1215328984
Title
Owner
Phone
(503) 489-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

6464 SW Borland Rd Ste B6
Tualatin, OR 97062-8859

Mailing address

6464 SW Borland Rd Ste B6
Tualatin, OR 97062-8859
Phone (503) 489-8480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julia@tualatin-acupuncture.com Direct

National Provider Directory

National Provider Directory

Locations

2031 SE Belmont St
Portland, OR 97214
Phone (503) 893-2275

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1003206079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE B6",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628859",
            "telephone_number": "503-489-8480",
            "fax_number": "503-922-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE B6",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628859",
            "telephone_number": "503-489-8480",
            "fax_number": "502-922-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-489-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julia@tualatin-acupuncture.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6464 SW Borland Rd Ste B6",
            "city": "Tualatin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970628859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.