Organization Active NPI

Origins Integrative Health, LLC

  • Integrative Medicine Physician
  • Portland, OR
National Provider Identifier
1083552012
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
ORIGINS INTEGRATIVE HEALTH, LLC
Practice address
1421 SE Ankeny St
Portland, OR 97214-1471
Phone
(971) 219-9806
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Casey McGuire, LACNPI 1336293299
Title
Director of Operations
Phone
(971) 219-9806

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
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

1421 SE Ankeny St
Portland, OR 97214-1471

Mailing address

1421 SE Ankeny St
Portland, OR 97214-1471
Phone (971) 219-9806

National Provider Directory

National Provider Directory

Locations

1421 SE Ankeny St
Portland, OR 97214
Phone (503) 284-6996

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": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1083552012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141471",
            "telephone_number": "971-219-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141471",
            "telephone_number": "971-219-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS INTEGRATIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "971-219-9806",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "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 Mar 23, 2026; 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.