Angie Elliot, ND, LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT61319940 Issued in WA

Practice address

2348 NW Lovejoy St
Portland, OR 97210-3022

Phone

(503) 224-7224

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: angiee@anhaoclinic.org

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1144954157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 N ATLANTIC AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175203",
            "telephone_number": "435-655-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 NW LOVEJOY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103022",
            "telephone_number": "503-224-7224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16703 SE McGillivray Blvd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986834301",
            "country_code": "US",
            "telephone_number": "360-519-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "ANGIE",
        "credential": "ND, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC200523",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4333",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61319940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Angiee@anhaoclinic.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2348 NW Lovejoy St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972103022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Randy Lee Ellerbrook, M.D.
• Amanda Ellig, BSN, RN
• Quinn Ellingsen
• Marie Cederna Ellingson, RPT
• Ellingson'S Inc.
• Diane Louise Elliot, MD
• Elliott Dentistry, PC
• Kendra Irene Elliott Green, DNP, CNM
• Christopher Leshawn Elliott-Person
• Cameron Elliott

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.