Marnie Loomis ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1100 Issued in OR

Legal business name

MARNIE LOOMIS ND

Doing business as

Evergreen Natural Medicine Clinic

Practice address

3835 SW 185TH Ave
Suite 200
Aloha, OR 97007-1502

Phone

(503) 591-8855

Fax

(503) 591-1595

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marnie Loomis, N.D.

Title

Owner

Phone

(503) 591-8855

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evergreen Natural Medicine Clinic Doing business as

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205973021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 SW 185TH AVE",
            "address_2": "SUITE 200",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970071502",
            "telephone_number": "503-591-8855",
            "fax_number": "503-591-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SW 185TH AVE",
            "address_2": "SUITE 200",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970071502",
            "telephone_number": "503-591-8855",
            "fax_number": "503-591-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNIE LOOMIS ND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-591-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182418",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Natural Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blake Edward Macnab, D.C.
• Marissa Mahan
• Rachel Major
• Kimberly Majors, RPH
• Yuriya Manabe, D.M.D.
• Carrie Martin
• Lara Martin
• Raechel M Martin
• Rocelia Martinez Martinez
• Stephanie Louise Martinez, CADC II

• Naturopath in Aloha, OR
• Providers in Aloha, OR by specialty
• Naturopath in Oregon

• 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.