NPIMap

Organization Active NPI

NCFC

Doing business as Canyon Medical Center

  • Naturopath
  • Portland, OR
National Provider Identifier
1295088847
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
NCFC
Doing business as
Canyon Medical Center
Practice address
2100 SW Camelot CT
Portland, OR 97225-3700
Phone
(503) 252-8125
Fax
(503) 256-8422
NPI assigned
Oct 19, 2012
Last updated
May 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Dr. Alina Grimsted
Title
Administrator
Phone
(503) 252-8125

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X
Birthing Clinic/Center 261QB0400X

Addresses

Primary practice location

2100 SW Camelot CT
Portland, OR 97225-3700

Mailing address

2100 SW Camelot CT
Portland, OR 97225-3700
Phone (503) 252-8125

Other names 1

  • Canyon Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0624478Canyon Medical Center Laboratory2100 SW Camelot CT Unit a, Portland, OR 97225Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

2100 SW Camelot Ct
Portland, OR 97225
Phone (503) 252-8125

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1295088847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SW CAMELOT CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253700",
            "telephone_number": "503-252-8125",
            "fax_number": "503-256-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SW CAMELOT CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253700",
            "telephone_number": "503-252-8125",
            "fax_number": "503-256-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "GRIMSTED",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-252-8125",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canyon Medical Center",
            "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 May 30, 2019; 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.