Evergreen Naturopathic Clinic LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1186R Issued in OR

Legal business name

EVERGREEN NATUROPATHIC CLINIC LLC

Practice address

3689 Carman Dr Ste 300
Lake Oswego, OR 97035-2620

Phone

(971) 313-2752

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lori Forest, N.D.

Title

Owner

Phone

(971) 313-2752

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1235680828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 CARMAN DR STE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352620",
            "telephone_number": "971-313-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 CARMAN DR STE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352620",
            "telephone_number": "971-313-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN NATUROPATHIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-313-2752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1186R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Evans, ND
• Laura Vangorp Evans, PT
• Nathan Evans, MS, CF-SLP
• Serena Evenson
• Evercare
• Sharon Zeringue Evers, ATR
• Eye Health Northwest P.C.
• Eyes of Oregon LLC
• Megan Fabio
• Face in the Mirror Counseling, Inc.

• Naturopath in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.