Organization Active NPI

Hawthorne Wellness Center

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1215354741
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HAWTHORNE WELLNESS CENTER
Practice address
3942 SE Hawthorne Blvd
Portland, OR 97214-5242
Phone
(503) 235-5484
Fax
(503) 235-3956
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Marilyn Wasson
Title
Billing Manager
Phone
(503) 235-5484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3942 SE Hawthorne Blvd
Portland, OR 97214-5242

Mailing address

3942 SE Hawthorne Blvd
Portland, OR 97214-5242
Phone (503) 235-5484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1215354741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145242",
            "telephone_number": "503-235-5484",
            "fax_number": "503-235-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145242",
            "telephone_number": "503-235-5484",
            "fax_number": "503-235-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "503-235-5484"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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 Mar 26, 2015; 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.