NPIMap

Organization Active NPI

Bloom Natural Healthcare

  • Naturopath
  • Portland, OR
National Provider Identifier
1164715504
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1526 Issued in OR
Legal business name
BLOOM NATURAL HEALTHCARE
Practice address
125 NE Killingsworth St Ste 101
Portland, OR 97211-2664
Phone
(503) 223-3741
NPI assigned
May 18, 2011
Last updated
May 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Authorized official

Name
Dr. Molly Hayman O'NeillNPI 1780705780
Title
Owner
Phone
(503) 223-2741

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC01051 OR
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 1526 OR Primary

Addresses

Primary practice location

125 NE Killingsworth St Ste 101
Portland, OR 97211-2664

Mailing address

125 NE Killingsworth St Ste 101
Portland, OR 97211-2664

National Provider Directory

National Provider Directory
Tax ID family
Bloom Natural Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 NE Killingsworth St
Ste 101
Portland, OR 97211
Phone (503) 223-3741

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1164715504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NE KILLINGSWORTH ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NE KILLINGSWORTH ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112664",
            "telephone_number": "503-223-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM NATURAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "HAYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-223-2741",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01051",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1526",
            "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 May 23, 2011; 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.