Active NPI
Emma Michelle Neiworth Petshow, ND
- Naturopath
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4171
- Practice address
- 13414 NE 23Rd Ave
Unit 427
Vancouver, WA 98686 - Phone
- (503) 664-1011
- Fax
- (866) 337-2677
- NPI assigned
- Sep 19, 2018
- Last updated
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 4171 | OR | Primary |
Addresses
Primary practice location
13414 NE 23Rd Ave
Unit 427
Vancouver, WA 98686
Mailing address
13203 SE 172ND Ave Ste 166
Happy Valley, OR 97086-8738
Phone (503) 664-1011
Other practice location 1
3314 S Kelly Ave
Portland, OR 97239-4628
Phone (971) 284-0497
Other practice location 2
1725 Pearl St
Eugene, OR 97401-4118
Phone (971) 284-0497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500767312 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower U Health and Wellness LLC | Naturopath | Current | Accepting new patients |
| Whitaker Wellness LLC | Past | Accepting new patients |
Locations
1725 Pearl St
Eugene, OR 97401
Phone (541) 683-0886
13203 SE 172nd Ave
Ste 166
Happy Valley, OR 97086
Phone (415) 812-6637
3314 S Kelly Ave
Portland, OR 97239
Phone (503) 420-6467
Interoperability endpoints
- epetshow122061@direct.ochin.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Naturopath
- Vancouver, WA
- NPI 1851057608
-
dba Powell Valley Chiropractic Clinic
- Clinic/Center
- Gresham, OR
- NPI 1831641505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1053895615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13203 SE 172ND AVE STE 166",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970868738",
"telephone_number": "503-664-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13414 NE 23RD AVE",
"address_2": "UNIT 427",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98686",
"telephone_number": "503-664-1011",
"fax_number": "866-337-2677"
}
],
"practiceLocations": [
{
"address_1": "3314 S Kelly Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972394628",
"country_code": "US",
"telephone_number": "971-284-0497",
"fax_number": "866-337-2677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1725 Pearl St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974014118",
"country_code": "US",
"telephone_number": "971-284-0497",
"fax_number": "866-337-2677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEIWORTH PETSHOW",
"first_name": "EMMA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2024-03-12",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500767312",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.