Health Practitioner Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

000037573N1 Issued in OR

Legal business name

HEALTH PRACTITIONER CLINIC LLC

Practice address

143 NW 4TH Ave
Canby, OR 97013

Phone

(503) 263-6611

Fax

(503) 266-5674

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bette Gay Seagren, CFNP

Title

Owner

Phone

(503) 263-6611

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1023183167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 NW 4TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "97013",
            "telephone_number": "503-263-6611",
            "fax_number": "503-266-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NW 4TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "97013",
            "telephone_number": "503-263-6611",
            "fax_number": "503-266-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PRACTITIONER CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "SEAGREN",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-263-6611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "000037573N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282467",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Gaye Harris, DO
• Christine Marie Harrison-Beard, OTR/L
• Hartwell Chiropractic and Wellness Center P.C.
• Natasha Harwood, SLP
• Mark Aaron Haskell, D.D.S.
• Ashley Heath, M.S., SLP
• Irene Sanae Higashi-Breshears
• Holly Street Dental, LLC
• Katherine Holly
• Nerissa Rae Holmes-Frahm, LMT

• Family Medicine Physician in Canby, OR
• Providers in Canby, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.