Organization Active NPI

Adore Media Group LLC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1194486779
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ADORE MEDIA GROUP LLC
Practice address
2250 NW Flanders St Ste G2
Portland, OR 97210-3475
Phone
(503) 888-8849
NPI assigned
Jan 5, 2022
Organization subpart
Yes
Parent organization
LOVE MEDICAL SPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Ginger Johnson
Title
Owner
Phone
(503) 888-8849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2250 NW Flanders St Ste G2
Portland, OR 97210-3475

Mailing address

2250 NW Flanders St Ste G2
Portland, OR 97210-3475
Phone (503) 888-8849

National Provider Directory

National Provider Directory
Part of
Adore Media Group LLC

Locations

2250 NW Flanders St
Ste G2
Portland, OR 97210
Phone (503) 888-8849

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1194486779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE G2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103475",
            "telephone_number": "503-888-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE G2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103475",
            "telephone_number": "503-888-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORE MEDIA GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOVE MEDICAL SPA",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-888-8849"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Jan 5, 2022; 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.