NPIMap

Organization Active NPI

Heart Spring Health LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1043572852
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
HEART SPRING HEALTH LLC
Practice address
7886 SE 13TH Ave
Portland, OR 97202
Phone
(503) 956-9396
Fax
(503) 206-4791
NPI assigned
Jun 8, 2012
Organization subpart
Yes
Parent organization
HEART SPRING HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Dr. Serron R Wilkie, N.D., LACNPI 1851625560
Title
Owner
Phone
(503) 956-9396

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

7886 SE 13TH Ave
Portland, OR 97202

Mailing address

7886 SE 13TH Ave
Portland, OR 97202
Phone (503) 956-9396

Other identifiers 2

IdentifierTypeStateIssuer
500773243MedicaidOR
1851625560OtherORNPI

Other names 1

  • Heart Spring Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250808002929 OR Part B Supplier - Clinic/Group Practice 0446758437 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2117438Heart Spring Health LLC7886 SE 13TH Ave, Portland, OR 97202Certificate of waiverAug 15, 2026

National Provider Directory

National Provider Directory
Part of
Heart Spring Health LLC

Locations

7886 SE 13th Ave
Portland, OR 97202
Phone (503) 415-0089

819 SE Morrison St
Ste 115
Portland, OR 97214
Phone (503) 956-9396

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1043572852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7886 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-956-9396",
            "fax_number": "503-206-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7886 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-956-9396",
            "fax_number": "503-206-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SPRING HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART SPRING HEALTH LLC",
        "enumeration_date": "2012-06-08",
        "last_updated": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "WILKIE",
        "authorized_official_first_name": "SERRON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-956-9396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D., LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500773243",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851625560",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Spring Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.