Organization Active NPI

Milwaukie Natural Medicine, LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1134597602
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC174049 Issued in OR
Legal business name
MILWAUKIE NATURAL MEDICINE, LLC
Practice address
6501 SE King Rd
Portland, OR 97222-2538
Phone
(503) 863-5939
Fax
(503) 788-8020
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Dr. Karmen Valena Geller, N.D., L.AC.NPI 1548645682
Title
Business Owner
Phone
(503) 683-5939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC174049 OR Primary

Addresses

Primary practice location

6501 SE King Rd
Portland, OR 97222-2538

Mailing address

6501 SE King Rd
Portland, OR 97222-2538
Phone (503) 863-5939

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2105838Milwaukie Natural Medicine LLC6501 SE King Road, Milwaukie, OR 97222Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1134597602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 SE KING RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222538",
            "telephone_number": "503-863-5939",
            "fax_number": "503-788-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 SE KING RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222538",
            "telephone_number": "503-863-5939",
            "fax_number": "503-788-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKIE NATURAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "KARMEN",
        "authorized_official_middle_name": "VALENA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "503-683-5939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "AC174049",
            "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 Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.