NPIMap

Organization Active NPI

Celilo Natural Health Center, LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1306116371
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1686 Issued in OR
Legal business name
CELILO NATURAL HEALTH CENTER, LLC
Practice address
4921 NE 28TH Ave
Portland, OR 97211-6336
Phone
(503) 335-9479
Fax
(503) 575-9229
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Orna Izakson, NDNPI 1043549793
Title
Owner, Physician
Phone
(503) 335-9479

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
Clinic/Center 261Q00000X 1686 OR Primary

Addresses

Primary practice location

4921 NE 28TH Ave
Portland, OR 97211-6336

Mailing address

4921 NE 28TH Ave
Portland, OR 97211-6336
Phone (503) 335-9479

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1306116371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116336",
            "telephone_number": "503-335-9479",
            "fax_number": "503-575-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116336",
            "telephone_number": "503-335-9479",
            "fax_number": "503-575-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELILO NATURAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "IZAKSON",
        "authorized_official_first_name": "ORNA",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "503-335-9479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "1686",
            "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 Jan 9, 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.