Bambu Clinic, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1318 Issued in OR

Legal business name

BAMBU CLINIC, LLC

Practice address

2256 N Albina Ave Ste 160
Portland, OR 97227-1774

Phone

(503) 274-9360

Fax

(503) 274-9370

NPI assigned

May 23, 2012

Last updated

Jul 7, 2023By 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

Rebecca Krisko, NDNPI 1306963806

Title

Owner/Naturopathic Physician

Phone

(503) 274-9360

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Rebecca Elizabeth Krisko, N.D.

  • Naturopath
  • Portland, OR
  • NPI 1306963806
  NPD Authorized official
• Jorge M Kaufmann, N.D., LAC

  • Naturopath
  • Portland, OR
  • NPI 1932395894
  NPD (past)
• Karin Elizabeth Taylor, ND

  • Naturopath
  • Portland, OR
  • NPI 1114169588
  NPD (past)
• Ashlee Jane, NMD

  • Naturopath
  • Boise, ID
  • NPI 1902382005
  NPD (past)

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1285994269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 N INTERSTATE AVE STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271771",
            "telephone_number": "503-274-9360",
            "fax_number": "503-274-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 N ALBINA AVE STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271774",
            "telephone_number": "503-274-9360",
            "fax_number": "503-274-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBU CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "KRISKO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "503-274-9360",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Scott Baltus, LCSW
• Julianne Baltzley
• Sowmya Sameera Balusu, MD
• Alea Erika Balzer, PWS
• Amelia Laurel Bambam
• Chelsea Wannie Ban, M.D.
• Lan Ban, MD
• Banana Slug Psychological Services LLC
• Cheyenne Grace Banas, LMT
• Crystal Banas, PHARMD

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.