Organization Active NPI

Jenna Halbert, ND LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1003410150
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JENNA HALBERT, ND LLC
Practice address
333 NE Russell St Ste 207
Portland, OR 97212-3763
Phone
(503) 482-8301
NPI assigned
Nov 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Authorized official

Name
Dr. Jenna Halbert, NDNPI 1366049314
Title
Owner
Phone
(503) 482-8301

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

333 NE Russell St Ste 207
Portland, OR 97212-3763

Mailing address

4135 SE 63Rd Ave
Portland, OR 97206-3764

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL janeapp.com

National Provider Directory

National Provider Directory

Locations

333 NE Russell St
Ste 207
Portland, OR 97212
Phone (503) 453-6731

Practitioners & affiliated clinicians

Practitioners 1

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": "1606608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606608000000",
    "number": "1003410150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 SE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NE RUSSELL ST STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123763",
            "telephone_number": "503-482-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA HALBERT, ND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A",
        "authorized_official_last_name": "HALBERT",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-482-8301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "janeapp.com",
            "affiliation": "N",
            "endpointDescription": "Jane EHR",
            "address_1": "333 NE Russell St Ste 207",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972123763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.