NPIMap

Organization Active NPI

Green Leaf Natural Medicine LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1053730440
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1967 Issued in OR
Legal business name
GREEN LEAF NATURAL MEDICINE LLC
Practice address
1020 SW Taylor St Ste 804
Portland, OR 97205-2500
Phone
(971) 888-5639
Fax
(888) 972-4978
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Linda GedeonNPI 1043647332
Title
ND/Owner
Phone
(971) 888-5639

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 1967 OR Primary

Addresses

Primary practice location

1020 SW Taylor St Ste 804
Portland, OR 97205-2500

Mailing address

1020 SW Taylor St Ste 804
Portland, OR 97205-2500
Phone (971) 888-5639

National Provider Directory

National Provider Directory

Locations

1020 SW Taylor St
Ste 804
Portland, OR 97205
Phone (503) 998-2218

Practitioners & affiliated clinicians

Practitioners 1

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": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1053730440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 804",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052500",
            "telephone_number": "971-888-5639",
            "fax_number": "888-972-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 804",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052500",
            "telephone_number": "971-888-5639",
            "fax_number": "888-972-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LEAF NATURAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "GEDEON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ND/OWNER",
        "authorized_official_telephone_number": "971-888-5639"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 14, 2014; 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.