Verdura Family Wellness, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VERDURA FAMILY WELLNESS, INC

Practice address

510 Bridge St
Vernonia, OR 97064-1218

Phone

(503) 648-8210

Fax

(503) 648-8283

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Miller

Title

Vice President

Phone

(503) 648-8210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1245500651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 S 1ST AVE STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233957",
            "telephone_number": "503-648-8210",
            "fax_number": "503-648-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BRIDGE ST",
            "city": "VERNONIA",
            "state": "OR",
            "postal_code": "970641218",
            "telephone_number": "503-648-8210",
            "fax_number": "503-648-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDURA FAMILY WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "503-648-8210"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Dyett Nowland, RN
• Julia Martin Otterlei, N.P.
• Fariba Safaiyan, PHD
• Christa Scheuerman, DMD
• Holly A Tarkalson, RN
• Verdura Family Wellness, Inc (Verdura Family Wellness, Inc-Vernonia)
• Vernonia Chiropractic Clinic, Inc
• Vernonia Dental LLC
• Vernonia Rural Fire Protection District

• Primary Care Clinic/Center in Vernonia, OR
• Providers in Vernonia, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.