Individual provider Active NPI

Marissa Hanthorn, ND, LAC

  • Naturopath
  • Portland, OR
National Provider Identifier
1154874535
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4341 Issued in OR
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

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
AC195483ORMDAcupuncturist
22305ORMDMassage Therapist
4341ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Natural Medicine, Inc Acupuncturist CurrentSince Aug 8, 2021 Accepting new patients

Locations

1330 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 232-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.