Organization Active NPI

Lionheart Incorporated

  • Naturopath
  • Portland, OR
National Provider Identifier
1184840910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1482 Issued in OR
Legal business name
LIONHEART INCORPORATED
Practice address
1020 SW Taylor St Ste 330
Portland, OR 97205-2550
Phone
(503) 287-4970
Fax
(503) 221-5454
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hilary Paige Costello, N.D,NPI 1942322441
Title
President
Phone
(503) 287-4970

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: 193200000X MULTI-SPECIALTY GROUP 175F00000X 1482 OR Primary

Addresses

Primary practice location

1020 SW Taylor St Ste 330
Portland, OR 97205-2550

Mailing address

9404 SW 4TH Ave
Portland, OR 97219-4819
Phone (503) 246-0513

National Provider Directory

National Provider Directory
Tax ID family
Lionheart Incorporated2 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.

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184840910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 SW 4TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194819",
            "telephone_number": "503-246-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052550",
            "telephone_number": "503-287-4970",
            "fax_number": "503-221-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONHEART INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-287-4970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D,"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1482",
            "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 22, 2020; 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.