Verdura Family Wellness, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VERDURA FAMILY WELLNESS, INC

Doing business as

Verdura Family Wellness, Inc-Carlton

Practice address

348 S Pine St
Carlton, OR 97111-1228

Phone

(503) 648-8210

Fax

(503) 648-8283

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Sara Miller

Title

Practice Manager

Phone

(503) 648-8210

Specialties & licenses 1

Addresses

Other names 1

• Verdura Family Wellness, Inc-Carlton Doing business as

Locations

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1043577869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 S 1ST AVE STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233957",
            "telephone_number": "503-648-8210",
            "fax_number": "503-648-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S PINE ST",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "971111228",
            "telephone_number": "503-648-8210",
            "fax_number": "503-648-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDURA FAMILY WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "503-648-8210"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verdura Family Wellness, Inc-Carlton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myriram Yvonne Polanco Allen, CSWA
• Sanar Network LLC
• Sede Counseling
• Sarah Mariah Sede, LPC
• Marilyn Shultz, LMFT
• Verdura Family Wellness, Inc (Verdura Family Wellness, Inc-Carlton)

• Family Medicine Physician in Carlton, OR
• Providers in Carlton, 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 Apr 18, 2012; 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.