Northwest Family Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NORTHWEST FAMILY HEALTH LLC

Practice address

1881 NW 185TH Ave
Suite 102
Aloha, OR 97006-6822

Phone

(503) 439-1539

Fax

(503) 439-8960

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Sarah K Wickenhagen, FNP

Title

President

Phone

(503) 439-1539

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124133079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NW 185TH AVE",
            "address_2": "SUITE 102",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970066822",
            "telephone_number": "503-439-1539",
            "fax_number": "503-439-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NW 185TH AVE",
            "address_2": "SUITE 102",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970066822",
            "telephone_number": "503-439-1539",
            "fax_number": "503-439-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKENHAGEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-439-1539",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Todd Henry Nielsen, DMD
• Julie Nixon, QMHA-I
• Northland Hearing Centers Inc
• Northland Hearing Centers Inc.
• Northwest Endodontics, PC
• Northwest Mobile Hygiene, LLC
• Grace Abwenzoh Ntube, RN
• NW Foot Clinic PC
• George O'Hara
• Martin R Olivera Jr.

• Family Nurse Practitioner in Aloha, OR
• Providers in Aloha, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.