Active NPI
Node Allen Smith, ND
- Naturopath
- Portland, OR
National Provider Identifier
1124531215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4098
- Practice address
- 2 NW 3Rd Ave
Portland, OR 97209-3907 - Phone
- (503) 841-6828
- Fax
- (503) 515-8099
- NPI assigned
- Nov 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 4098 | OR | Primary |
Addresses
Primary practice location
2 NW 3Rd Ave
Portland, OR 97209-3907
Mailing address
6745 SW Scholls Ferry Rd Apt 23
Beaverton, OR 97008-5499
Other practice location 1
5935 Willow Ln
Lake Oswego, OR 97035-5344
Phone (503) 655-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4098 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2Bwell Group, LLC | Naturopath | Past | Accepting new patients |
| Jessica Brooke Huffman, LLC | Naturopath | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Naturopath
- Portland, OR
- NPI 1891118139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124531215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6745 SW SCHOLLS FERRY RD APT 23",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 NW 3RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093907",
"telephone_number": "503-841-6828",
"fax_number": "503-515-8099"
}
],
"practiceLocations": [
{
"address_1": "5935 Willow Ln",
"address_purpose": "LOCATION",
"city": "Lake Oswego",
"state": "OR",
"postal_code": "970355344",
"country_code": "US",
"telephone_number": "503-655-0044",
"fax_number": "503-515-8099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "NODE",
"middle_name": "ALLEN",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4098",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.