Organization Active NPI

Working Class Medicine LLC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1326531666
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4147 Issued in OR
Legal business name
WORKING CLASS MEDICINE LLC
Doing business as
Working Class Medicine
Practice address
2133 N. Willis Blvd, Studio D
Portland, OR 97217
Phone
(503) 680-6039
Fax
(833) 288-5229
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Dr. Jennifer Davidson, ND
Title
Owner/Provider
Phone
(503) 680-6039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4147 OR Primary

Addresses

Primary practice location

2133 N. Willis Blvd, Studio D
Portland, OR 97217

Mailing address

2133 N. Willis Blvd, Studio D
Portland, OR 97217
Phone (503) 680-6039

Other names 1

  • Working Class Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1326531666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 N. WILLIS BLVD, STUDIO D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97217",
            "telephone_number": "503-680-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 N. WILLIS BLVD, STUDIO D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97217",
            "telephone_number": "503-680-6039",
            "fax_number": "833-288-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKING CLASS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "503-680-6039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "4147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Working Class Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Working Class Medicine",
            "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 Jun 12, 2018; 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.