Organization Active NPI

Katherine Zieman

  • Naturopath
  • Gresham, OR
National Provider Identifier
1194175638
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0799 Issued in OR
Legal business name
KATHERINE ZIEMAN
Practice address
22400 SE Stark St
Suite 105
Gresham, OR 97030-2656
Phone
(503) 492-1221
Fax
(503) 907-0098
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Katherine Ann Zieman, N.D.
Title
Owner
Phone
(503) 784-6203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 0799 OR Primary

Addresses

Primary practice location

22400 SE Stark St
Suite 105
Gresham, OR 97030-2656

Mailing address

22400 SE Stark St
Suite 105
Gresham, OR 97030-2656
Phone (503) 492-1221

Other identifiers 1

IdentifierTypeStateIssuer
126669MedicaidOR

National Provider Directory

National Provider Directory

Locations

22400 SE Stark St
Ste 105
Gresham, OR 97030
Phone (503) 492-1221

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1194175638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "address_2": "SUITE 105",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-492-1221",
            "fax_number": "503-907-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "address_2": "SUITE 105",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-492-1221",
            "fax_number": "503-907-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE ZIEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "ZIEMAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-784-6203",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126669",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.