Organization Active NPI

Personalized Natural Wellness LLC

  • Naturopath
  • Hillsboro, OR
National Provider Identifier
1053183806
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
PERSONALIZED NATURAL WELLNESS LLC
Practice address
1915 NE Stucki Ave Ste 308
Hillsboro, OR 97006-6951
Phone
(503) 995-6351
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Steffanie Altenbern, DHSC, QMHP, LMSWNPI 1659790236
Title
Co-Ceo, Coo
Phone
(503) 995-6351

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
Naturopath 175F00000X NU Primary

Addresses

Primary practice location

1915 NE Stucki Ave Ste 308
Hillsboro, OR 97006-6951

Mailing address

PO Box 2511
Tualatin, OR 97062-2511
Phone (503) 995-6351

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1053183806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2511",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970622511",
            "telephone_number": "503-995-6351",
            "fax_number": "503-676-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 308",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "503-995-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED NATURAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "ALTENBERN",
        "authorized_official_first_name": "STEFFANIE",
        "authorized_official_title_or_position": "CO-CEO, COO",
        "authorized_official_telephone_number": "503-995-6351",
        "authorized_official_credential": "DHSC, QMHP, LMSW"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 25, 2023; 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.