Organization Active NPI

Bella Enterprises LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1104231307
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
2027 Issued in OR
Legal business name
BELLA ENTERPRISES LLC
Practice address
2215 SE Division St
Portland, OR 97202-1244
Phone
(503) 946-1990
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Kimberly Beddor
Title
Owner
Phone
(503) 946-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 2027 OR Primary

Addresses

Primary practice location

2215 SE Division St
Portland, OR 97202-1244

Mailing address

2215 SE Division St
Portland, OR 97202-1244
Phone (503) 946-1990

Other names 1

  • Bella Vita Spa and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

2215 SE Division St
Portland, OR 97202
Phone (503) 946-1990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1104231307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021244",
            "telephone_number": "503-946-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021244",
            "telephone_number": "503-946-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "BEDDOR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-946-1990"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vita Spa and Wellness",
            "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 Jun 25, 2014; 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.