Organization Active NPI

Center for Traditional Medicine, P.C.

  • Naturopath
  • Lake Oswego, OR
National Provider Identifier
1194156448
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
CENTER FOR TRADITIONAL MEDICINE, P.C.
Practice address
320 Oswego Pointe Dr
Lake Oswego, OR 97034-3228
Phone
(503) 636-2734
Fax
(503) 636-3250
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Teresa K Shelley
Title
Corporate Secretary
Phone
(503) 636-2734

Specialties & licenses 2

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

Addresses

Primary practice location

320 Oswego Pointe Dr
Lake Oswego, OR 97034-3228

Mailing address

320 Oswego Pointe Dr
Lake Oswego, OR 97034-3228
Phone (503) 636-2734

National Provider Directory

National Provider Directory

Locations

320 Oswego Pointe Dr
Lake Oswego, OR 97034
Phone (503) 636-2734

Practitioners & affiliated clinicians

Practitioners 2

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": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1194156448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 OSWEGO POINTE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343228",
            "telephone_number": "503-636-2734",
            "fax_number": "503-636-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OSWEGO POINTE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343228",
            "telephone_number": "503-636-2734",
            "fax_number": "503-636-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR TRADITIONAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "SHELLEY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "503-636-2734"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.