Jennifer Means ND Lac PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

857 Issued in OR

Legal business name

JENNIFER MEANS ND LAC PC

Practice address

4970 SW Main Ave # 100
Beaverton, OR 97005-2740

Phone

(503) 641-6400

Fax

(503) 641-6401

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Means, ND, MACOM

Title

Owner, President, Physician

Phone

(503) 641-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Singing River Natural Medicine Other name

Locations

Practitioners 1

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

• Kathryn Rewick

  • Naturopath
  • Beaverton, OR
  • NPI 1528425287
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1184000911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 SW MAIN AVE # 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052740",
            "telephone_number": "503-641-6400",
            "fax_number": "503-641-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 SW MAIN AVE # 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052740",
            "telephone_number": "503-641-6400",
            "fax_number": "503-641-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MEANS ND LAC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, PHYSICIAN",
        "authorized_official_telephone_number": "503-641-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, MACOM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226292",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singing River Natural Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• JD Harris PC (Beaverton Vision World)
• Heather Lucile Jeffers, LMT
• Susan Jeltsch
• Amanda Noelle Jenkins
• Randi Jenkins
• Beth Elaine Jennings, PT
• Emily Jensen
• Lindsay Jensen
• Sara J Jensen, PSY. D.
• Hillary A Jenson, DNP, NP-C

• Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.