NPIMap

Organization Active NPI

Mountain Spring Health Clinic, LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1306118419
Registry record updated Feb 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1617 Issued in OR
Legal business name
MOUNTAIN SPRING HEALTH CLINIC, LLC
Practice address
3449 NE 25TH Ave
Portland, OR 97212-2508
Phone
(503) 493-7446
NPI assigned
Feb 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2012

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

Authorized official

Name
Dr. Anthony Murczek, C.HT., L.AC., N.D.NPI 1073783882
Title
Owner/ Clinic Director
Phone
(503) 493-7446

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00452 OR
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 1617 OR Primary
HomeopathGroup: 193200000X MULTI-SPECIALTY GROUP 175L00000X 1617 OR

Addresses

Primary practice location

3449 NE 25TH Ave
Portland, OR 97212-2508

Mailing address

3449 NE 25TH Ave
Portland, OR 97212-2508

National Provider Directory

National Provider Directory

Locations

3449 NE 25th Ave
Portland, OR 97212
Phone (503) 493-7446

Practitioners & affiliated clinicians

Practitioners 2

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": "1328313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328313600000",
    "number": "1306118419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 NE 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 NE 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122508",
            "telephone_number": "503-493-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPRING HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-04",
        "last_updated": "2012-02-04",
        "status": "A",
        "authorized_official_last_name": "MURCZEK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/ CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-493-7446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "C.HT., L.AC., N.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00452",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1617",
            "primary": true
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homeopath",
            "state": "OR",
            "license": "1617",
            "primary": false
        }
    ],
    "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 Feb 4, 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.