Organization Active NPI

Agape Health Clinic

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1093453102
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AGAPE HEALTH CLINIC
Practice address
505 NW 9TH Ave
Portland, OR 97209-3578
Phone
(503) 926-9529
Fax
(503) 961-8698
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Dr. Clifford C Meeks, MPH, ND, LACNPI 1578800207
Title
Chief Medical Officer
Phone
(503) 926-9529

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

505 NW 9TH Ave
Portland, OR 97209-3578

Mailing address

505 NW 9TH Ave
Portland, OR 97209-3578
Phone (503) 926-9529

National Provider Directory

National Provider Directory

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": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1093453102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NW 9TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093578",
            "telephone_number": "503-926-9529",
            "fax_number": "503-961-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NW 9TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093578",
            "telephone_number": "503-926-9529",
            "fax_number": "503-961-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "503-926-9529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MPH, ND, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 May 27, 2022; 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.