NPIMap

Organization Active NPI

National University of Natural Medicine

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1225412620
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ND0879 Issued in OR
Legal business name
NATIONAL UNIVERSITY OF NATURAL MEDICINE
Practice address
3025 SW Corbett Ave
Portland, OR 97201-4858
Phone
(503) 552-1551
NPI assigned
Jul 15, 2015
Last updated
Sep 13, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL UNIVERSITY OF NATURAL MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Dr. Regina Ida Dehen, ND LAC
Title
Cmo and Dean of Clinics
Phone
(503) 552-1966

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ND0879 OR Primary
Student Health Clinic/Center 261QS1000X 0879 OR
Non-Pharmacy Dispensing Site 332900000X 0879 OR

Addresses

Primary practice location

3025 SW Corbett Ave
Portland, OR 97201-4858

Mailing address

049 SW Porter St
Portland, OR 97201-4848
Phone (503) 552-1551

Other identifiers 1

IdentifierTypeStateIssuer
137646MedicaidOR

Other names 1

  • NUNM Other name

National Provider Directory

National Provider Directory
Tax ID family
PTLD Naturopathic Lab7 organizations share this tax ID, including this one
Part of
PTLD Naturopathic Lab

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1225412620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "049 SW PORTER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014848",
            "telephone_number": "503-552-1551",
            "fax_number": "503-226-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SW CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014858",
            "telephone_number": "503-552-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL UNIVERSITY OF NATURAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL UNIVERSITY OF NATURAL MEDICINE",
        "enumeration_date": "2015-07-15",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "DEHEN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "IDA",
        "authorized_official_title_or_position": "CMO AND DEAN OF CLINICS",
        "authorized_official_telephone_number": "503-552-1966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND LAC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "ND0879",
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "OR",
            "license": "0879",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OR",
            "license": "0879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137646",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NUNM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 13, 2016; 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.