Cultivating a New Life LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CULTIVATING A NEW LIFE LLC

Practice address

205 SE Spokane St Ste 300
Portland, OR 97202-6487

Phone

(541) 904-0468

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Miss Fumiyo Nishimoto, LCSW

Title

Owner

Phone

(541) 904-0468

Specialties & licenses 1

Addresses

Other names 1

• Cultivating A New Life Former legal business name

Locations

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1003406505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "541-904-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "541-904-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATING A NEW LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "NISHIMOTO",
        "authorized_official_first_name": "FUMIYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-904-0468",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivating A New Life",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Elizabeth Culmo, MSN, AGPCNP-BC
• Josie Elise Culp
• Stephanie Lenore Culps, CRM/PSS
• Cultivate Portland LLP
• Cultivate Therapy
• Amber R. Culver, LCSW
• Brinn Culver
• Stephanie Culver, N.D.
• Kristin Ruth Cumings
• Laura Dawn Cumming

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.