Calypso Natural Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1685 Issued in OR

Legal business name

CALYPSO NATURAL CLINIC

Practice address

2274 SW 2ND St Ste C
McMinnville, OR 97128-5597

Phone

(503) 472-5500

Fax

(503) 434-1224

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Amanda Hoffman

Title

President Ceo

Phone

(503) 472-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1043699366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 SW 2ND ST STE C",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285597",
            "telephone_number": "503-472-5500",
            "fax_number": "503-434-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 SW 2ND ST STE C",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285597",
            "telephone_number": "503-472-5500",
            "fax_number": "503-434-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALYPSO NATURAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "503-472-5500"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "1685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500637854",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Butler
• Erin Butters
• Cara Marie Caddell, M.D.
• Janet R Cain
• Elizabeth Julia Calvillo Sommerfeldt, PA
• Ronald D. Camp, MA/QMHP
• Campbell & Davis Dental LLC
• Stephanie Juliet Campbell, DO
• Angelica Maria Campos
• David Cano

• Health Service Clinic/Center in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.