NPIMap

Organization Active NPI

East by Northwest Integrative Medicine

  • Naturopath
  • Portland, OR
National Provider Identifier
1336545144
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
2071 Issued in OR
Legal business name
EAST BY NORTHWEST INTEGRATIVE MEDICINE
Practice address
516 SE Morrison St
Suite 207
Portland, OR 97214-2327
Phone
(503) 239-1022
Fax
(503) 512-5850
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Malea Macodrum, N.D.NPI 1700288669
Title
Owner, Naturopathic Physician
Phone
(503) 754-5397

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
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 2071 OR Primary

Addresses

Primary practice location

516 SE Morrison St
Suite 207
Portland, OR 97214-2327

Mailing address

3718 SE 33Rd PL
Portland, OR 97202-3056

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": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1336545144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 SE 33RD PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SE MORRISON ST",
            "address_2": "SUITE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142327",
            "telephone_number": "503-239-1022",
            "fax_number": "503-512-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BY NORTHWEST INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "MACODRUM",
        "authorized_official_first_name": "MALEA",
        "authorized_official_title_or_position": "OWNER, NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "503-754-5397",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2071",
            "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 Nov 6, 2014; 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.