NPIMap

Organization Active NPI

Jennifer Maurer Inc.

  • Naturopath
  • Portland, OR
National Provider Identifier
1235376245
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1503 Issued in OR
Legal business name
JENNIFER MAURER INC.
Practice address
1567 SE Tacoma St
Portland, OR 97202-6643
Phone
(503) 644-6769
Fax
(503) 239-8937
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Jennifer Elizabeth Maurer, ND
Title
Naturopathic Physician/President
Phone
(503) 644-6769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X 1503 OR Primary

Addresses

Primary practice location

1567 SE Tacoma St
Portland, OR 97202-6643

Mailing address

1567 SE Tacoma St
Portland, OR 97202-6643
Phone (503) 644-6769

Other names 1

  • Family Tree Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1235376245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 SE TACOMA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026643",
            "telephone_number": "503-644-6769",
            "fax_number": "503-239-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 SE TACOMA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026643",
            "telephone_number": "503-644-6769",
            "fax_number": "503-239-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MAURER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "503-644-6769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Tree Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 2009; 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.