Individual provider Active NPI

Jennifer Lynn Mlnarik, N.D.

  • Naturopath
  • Beaverton, OR
National Provider Identifier
1306026448
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1587 Issued in OR
Practice address
9880 SW Beaverton Hillsdale Hwy Ste 202
Beaverton, OR 97005-3367
Phone
(503) 747-5623
Fax
(503) 747-5636
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1587 OR Primary

Addresses

Primary practice location

9880 SW Beaverton Hillsdale Hwy Ste 202
Beaverton, OR 97005-3367

Mailing address

9880 SW Beaverton Hillsdale Hwy Ste 202
Beaverton, OR 97005-3367
Phone (503) 747-5623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1587ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Natural Family Medicine, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1306026448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 SW BEAVERTON HILLSDALE HWY STE 202",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053367",
            "telephone_number": "503-747-5623",
            "fax_number": "503-747-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 SW BEAVERTON HILLSDALE HWY STE 202",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053367",
            "telephone_number": "503-747-5623",
            "fax_number": "503-747-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLNARIK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.