Organization Active NPI

The Golden Heart Center for Wellness, LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1316065980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE GOLDEN HEART CENTER FOR WELLNESS, LLC
Practice address
8113 SE 13TH Ave
Portland, OR 97202-6607
Phone
(503) 232-5653
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Casey Martell
Title
Director
Phone
(503) 232-5653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8113 SE 13TH Ave
Portland, OR 97202-6607

Mailing address

8113 SE 13TH Ave
Portland, OR 97202-6607

National Provider Directory

National Provider Directory
Tax ID family
Golden Heart Center for Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316065980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026607",
            "telephone_number": "503-232-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOLDEN HEART CENTER FOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-232-5653"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.