NPIMap

Organization Active NPI

Healing Tree Family Practice, LLC

  • Naturopath
  • Eugene, OR
National Provider Identifier
1184012585
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1162 Issued in OR
Legal business name
HEALING TREE FAMILY PRACTICE, LLC
Practice address
1000 River Rd
Eugene, OR 97404-3230
Phone
(541) 688-1569
Fax
(541) 461-6884
NPI assigned
Jan 7, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Jeri Lynn Otterstrom, NDNPI 1013040526
Title
Registered Agent
Phone
(541) 688-1569

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1162 OR Primary

Addresses

Primary practice location

1000 River Rd
Eugene, OR 97404-3230

Mailing address

1000 River Rd
Eugene, OR 97404-3230
Phone (541) 688-1569

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1184012585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043230",
            "telephone_number": "541-688-1569",
            "fax_number": "541-461-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043230",
            "telephone_number": "541-688-1569",
            "fax_number": "541-461-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TREE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "OTTERSTROM",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "541-688-1569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

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