Active NPI
Marissa Hanthorn, ND, LAC
- Naturopath
- Portland, OR
National Provider Identifier
1154874535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4341
- Practice address
- 1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322 - Phone
- (503) 232-1100
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC195483 | OR | |
| Massage Therapist | 225700000X | 22305 | OR | |
| Naturopath | 175F00000X | 4341 | OR | Primary |
Addresses
Primary practice location
1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322
Mailing address
9009 SE Adams St Unit 3344
Clackamas, OR 97015-1180
Phone (971) 222-6506
Other practice location 1
1820 SW Vermont St Ste L
Portland, OR 97219-1945
Phone (971) 222-6506
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 |
|---|---|---|---|
| AC195483 | OR | MD | Acupuncturist |
| 22305 | OR | MD | Massage Therapist |
| 4341 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Natural Medicine, Inc | Acupuncturist | Current | Accepting new patients |
Locations
1330 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 232-1100
Interoperability endpoints
- https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4
- marissa.hanthorn.1@22798.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1043317928
Acupuncturist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1154874535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9009 SE ADAMS ST UNIT 3344",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970151180",
"telephone_number": "971-222-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SE CESAR E CHAVEZ BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144322",
"telephone_number": "503-232-1100"
}
],
"practiceLocations": [
{
"address_1": "1820 SW Vermont St Ste L",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972191945",
"country_code": "US",
"telephone_number": "971-222-6506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANTHORN",
"first_name": "MARISSA",
"name_prefix": "Ms.",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC195483",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "22305",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4341",
"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 Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.