Active NPI
Chris D Meletis, N.D.
- Naturopath
- Beaverton, OR
National Provider Identifier
1215080247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0767
- Practice address
- 4085 SW 109TH Ave Ste 200
Beaverton, OR 97005-3000 - Phone
- (503) 643-1024
- NPI assigned
- Jan 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 0767 | OR | Primary |
Addresses
Primary practice location
4085 SW 109TH Ave Ste 200
Beaverton, OR 97005-3000
Mailing address
4085 SW 109TH Ave Ste 200
Beaverton, OR 97005-3000
Phone (503) 643-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0767 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215080247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4085 SW 109TH AVE STE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053000",
"telephone_number": "503-643-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4085 SW 109TH AVE STE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053000",
"telephone_number": "503-643-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELETIS",
"first_name": "CHRIS",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "0767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.