A Body of Wisdom Natural Family Medicine, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1079 Issued in OR

Legal business name

A BODY OF WISDOM NATURAL FAMILY MEDICINE, LLC

Practice address

119 NE 3Rd St
Gresham, OR 97030-7403

Phone

(503) 665-9111

Fax

(503) 665-0110

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rose Martin, N.D.

Title

Owner

Phone

(503) 665-9111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073736435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NE 3RD ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307403",
            "telephone_number": "503-665-9111",
            "fax_number": "503-665-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NE 3RD ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307403",
            "telephone_number": "503-665-9111",
            "fax_number": "503-665-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BODY OF WISDOM NATURAL FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-665-9111",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #0430)
• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #1070)
• 360 Pelvic Health Institute LLC
• A Renaissance Health Center for Natural Medicine
• Aa Vision Corporation (Mt Hood Eye Care Gresham)
• April Abaecherli-Shore, FNP-C
• Keynan Abdi
• Brianna Elizabeth Abernathy, PT, DPT

• Naturopath in Gresham, OR
• Providers in Gresham, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.