Organization Active NPI

Ekaterina Shavlovsky

  • Health Maintenance Organization
  • Portland, OR
National Provider Identifier
1083955157
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1596 Issued in OR
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

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Dr. Ekaterina Shavlovsky, NDNPI 1205005881
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1205005881OtherORNPI TYPE 1

Other names 1

  • Optimal Health Naturopathic clinic Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.