Organization Active NPI

Vivid Health & Wellness, LLC

  • Naturopath
  • Beaverton, OR
National Provider Identifier
1184220030
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
VIVID HEALTH & WELLNESS, LLC
Practice address
1975 NW 167TH PL Ste 100-23
Beaverton, OR 97006-4908
Phone
(855) 605-6186
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Dr. Nazanin Safaei, NDNPI 1952963225
Title
Owner
Phone
(855) 605-6186

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
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

1975 NW 167TH PL Ste 100-23
Beaverton, OR 97006-4908

Mailing address

8152 SW Hall Blvd # 1095
Beaverton, OR 97008-6415

National Provider Directory

National Provider Directory

Locations

8152 SW Hall Blvd
#1030
Beaverton, OR 97008

8152 SW Hall Blvd
#1095
Beaverton, OR 97008

12655 SW Center St
Ste 330
Beaverton, OR 97005

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1184220030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 SW HALL BLVD # 1095",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL STE 100-23",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "855-605-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "SAFAEI",
        "authorized_official_first_name": "NAZANIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-605-6186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.