Active NPI
Laura Stephanie Mourino, ND
- Naturopath
- Tigard, OR
National Provider Identifier
1093296006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4189
- Practice address
- 6956 SW Hampton St
Tigard, OR 97223-8351 - Phone
- (216) 707-9137
- Fax
- (216) 707-0162
- NPI assigned
- Aug 27, 2018
- Last updated
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 4189 | OR | Primary |
Addresses
Primary practice location
6956 SW Hampton St
Tigard, OR 97223-8351
Mailing address
6956 SW Hampton St
Tigard, OR 97223-8351
Phone (216) 707-9137
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4189 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Options Naturopathic Clinic | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
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
- Cleveland Heights, OH
- NPI 1356461644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1093296006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6956 SW HAMPTON ST",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238351",
"telephone_number": "216-707-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6956 SW HAMPTON ST",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238351",
"telephone_number": "216-707-9137",
"fax_number": "216-707-0162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOURINO",
"first_name": "LAURA",
"middle_name": "STEPHANIE",
"name_prefix": "Miss",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.