NPIMap

Organization Active NPI

NW Preventive and Primary Care

  • Naturopath
  • Hillsboro, OR
National Provider Identifier
1033563267
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1399 Issued in OR
Legal business name
NW PREVENTIVE AND PRIMARY CARE
Practice address
730 SE Oak St
Suite K
Hillsboro, OR 97123-4245
Phone
(503) 430-1057
Fax
(503) 430-1085
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Dr. Michael W Owen, NDNPI 1700820719
Title
Owener
Phone
(503) 430-1057

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
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 1399 OR Primary

Addresses

Primary practice location

730 SE Oak St
Suite K
Hillsboro, OR 97123-4245

Mailing address

730 SE Oak St
Suite K
Hillsboro, OR 97123-4245
Phone (503) 430-1057

Other identifiers 1

IdentifierTypeStateIssuer
500622838MedicaidOR

National Provider Directory

National Provider Directory

Locations

730 SE Oak St
Ste K
Hillsboro, OR 97123
Phone (503) 430-1057

Practitioners & affiliated clinicians

Practitioners 4

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1033563267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SE OAK ST",
            "address_2": "SUITE K",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234245",
            "telephone_number": "503-430-1057",
            "fax_number": "503-430-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SE OAK ST",
            "address_2": "SUITE K",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234245",
            "telephone_number": "503-430-1057",
            "fax_number": "503-430-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW PREVENTIVE AND PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "503-430-1057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500622838",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.