NPIMap

Organization Active NPI

Amber Wellness Group

  • Naturopath
  • Portland, OR
National Provider Identifier
1265704209
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1291 Issued in OR
Legal business name
AMBER WELLNESS GROUP
Practice address
1944 NE 45TH Ave.
Portland, OR 97213
Phone
(971) 319-0045
Fax
(503) 296-5712
NPI assigned
Feb 7, 2012
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Dr. Lisa Anne Dickinson, NDNPI 1235102104
Title
Owner/Naturopathic Physician
Phone
(971) 319-0045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 1291 OR Primary

Addresses

Primary practice location

1944 NE 45TH Ave.
Portland, OR 97213

Mailing address

1944 NE 45TH Ave.
Portland, OR 97213
Phone (971) 319-0045

National Provider Directory

National Provider Directory

Locations

1944 NE 45th Ave
Portland, OR 97213
Phone (971) 319-0045

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1265704209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 NE 45TH AVE.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "971-319-0045",
            "fax_number": "503-296-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 NE 45TH AVE.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "971-319-0045",
            "fax_number": "503-296-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "971-319-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1291",
            "primary": true
        }
    ],
    "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 Mar 14, 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.