Emily Gannaway, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

3092 Issued in OR

Legal business name

EMILY GANNAWAY, LLC

Practice address

17933 NW Evergreen Pkwy
Suite 285
Beaverton, OR 97006-7659

Phone

(503) 828-9265

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Emily Gannaway, ND

Title

Naturopathic Doctor/PCP

Phone

(201) 213-2112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1114479250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 9TH ST",
            "address_2": "APT 12",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452073",
            "telephone_number": "201-213-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17933 NW EVERGREEN PKWY",
            "address_2": "SUITE 285",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067659",
            "telephone_number": "503-828-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY GANNAWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "GANNAWAY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "NATUROPATHIC DOCTOR/PCP",
        "authorized_official_telephone_number": "201-213-2112",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Beaverton, OR
• Providers in Beaverton, OR by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.