Active NPI
Healthy Family Wellness
- Naturopath
- Portland, OR
National Provider Identifier
1104469378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Legal business name
- HEALTHY FAMILY WELLNESS
- Practice address
- 404 SE 80TH Ave
Portland, OR 97215-1528 - Phone
- (503) 335-3201
- NPI assigned
- Oct 21, 2019
- 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
- Jennifer Gibbons, ND
- Title
- Owner/Provider
- Phone
- (503) 335-3201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | Primary |
Addresses
Primary practice location
404 SE 80TH Ave
Portland, OR 97215-1528
Mailing address
404 SE 80TH Ave
Portland, OR 97215-1528
Phone (503) 335-3201
National Provider Directory
National Provider DirectoryLocations
404 SE 80th Ave
Portland, OR 97215
Phone (503) 335-3201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571616000000",
"number": "1104469378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 SE 80TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151528",
"telephone_number": "503-335-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 SE 80TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151528",
"telephone_number": "503-335-3201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY FAMILY WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "503-335-3201",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Healthmax LLC
- Healthscripts of America - Portland, LLC
- Healthsource of SE Portland
- Healthstat on-Site Clinic/Saif 2ND Location
- Healthy at Home LLC
- Healthy Happy Now Natural Medicine
- Healthy Living at Home - Portland LLC
- Healthy Living Community
- Healthy Living Family Medicine, LLC
- Healthy Living Internal Medicine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.