Active NPI
Rhizome Wellness LLC
- Primary Care Clinic/Center
- Portland, OR
National Provider Identifier
1215528153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- RHIZOME WELLNESS LLC
- Practice address
- 5010 NE 33Rd Ave
Portland, OR 97211-6946 - Phone
- (503) 238-1065
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas Becker, ND
- Title
- Sole Member
- Phone
- (301) 706-5067
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
5010 NE 33Rd Ave
Portland, OR 97211-6946
Mailing address
4523 NE 82ND Ave
Portland, OR 97220-4920
Phone (301) 706-5067
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Naturopath
- Portland, OR
- NPI 1699394411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612224000000",
"number": "1215528153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4523 NE 82ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204920",
"telephone_number": "301-706-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 NE 33RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972116946",
"telephone_number": "503-238-1065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHIZOME WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "301-706-5067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND"
},
"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 Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.