Active NPI
Ekaterina Shavlovsky
- Health Maintenance Organization
- Portland, OR
National Provider Identifier
1083955157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 1596
- Legal business name
- EKATERINA SHAVLOVSKY
- Practice address
- 7105 SW Varns St
Suite 170
Portland, OR 97223-8148 - Phone
- (503) 278-7963
- Fax
- (206) 600-5562
- NPI assigned
- Mar 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ekaterina Shavlovsky, ND
- Title
- Naturopath
- Phone
- (503) 278-7963
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 1596 | OR | Primary |
Addresses
Primary practice location
7105 SW Varns St
Suite 170
Portland, OR 97223-8148
Mailing address
7105 SW Varns St
Suite 170
Portland, OR 97223-8148
Phone (503) 278-7963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205005881 | Other | OR | NPI TYPE 1 |
Other names 1
- Optimal Health Naturopathic clinic
National Provider Directory
National Provider DirectoryLocations
7105 SW Varns St
Ste 170
Portland, OR 97223
Phone (503) 278-7963
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Naturopath
- Portland, OR
- NPI 1205005881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365638400000",
"number": "1083955157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7105 SW VARNS ST",
"address_2": "SUITE 170",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238148",
"telephone_number": "503-278-7963",
"fax_number": "206-600-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7105 SW VARNS ST",
"address_2": "SUITE 170",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238148",
"telephone_number": "503-278-7963",
"fax_number": "206-600-5562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EKATERINA SHAVLOVSKY",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-14",
"last_updated": "2013-04-11",
"status": "A",
"authorized_official_last_name": "SHAVLOVSKY",
"authorized_official_first_name": "EKATERINA",
"authorized_official_title_or_position": "NATUROPATH",
"authorized_official_telephone_number": "503-278-7963",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "OR",
"license": "1596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1205005881",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Optimal Health Naturopathic clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.