Organization Active NPI

Searles Wellness LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1225390495
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ANP 083040868N3 Issued in OR
Legal business name
SEARLES WELLNESS LLC
Practice address
0224 SW Hamilton St
Suite 104
Portland, OR 97239-6418
Phone
(503) 222-5005
Fax
(503) 296-2482
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Ms. Mona Searles, ANP, LAC
Title
Owner
Phone
(503) 222-5005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ANP 083040868N3 OR Primary
Clinic/Center 261Q00000X LAC AC00866 OR

Addresses

Primary practice location

0224 SW Hamilton St
Suite 104
Portland, OR 97239-6418

Mailing address

0224 SW Hamilton St
Suite 104
Portland, OR 97239-6418
Phone (503) 222-5005

National Provider Directory

National Provider Directory

Locations

0224 SW Hamilton St
Ste 104
Portland, OR 97239
Phone (503) 222-5005

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1225390495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0224 SW HAMILTON ST",
            "address_2": "SUITE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396418",
            "telephone_number": "503-222-5005",
            "fax_number": "503-296-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0224 SW HAMILTON ST",
            "address_2": "SUITE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396418",
            "telephone_number": "503-222-5005",
            "fax_number": "503-296-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARLES WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "SEARLES",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-222-5005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "ANP  083040868N3",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "LAC  AC00866",
            "primary": false
        }
    ],
    "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 Jun 13, 2012; 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.