Create Heath NW

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CREATE HEATH NW

Practice address

1975 NW 167TH PL # 100-42
Beaverton, OR 97006-4908

Phone

(971) 344-7365

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Robert Burton, DONPI 1548520869

Title

Doctor

Phone

(971) 344-7365

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Robert Burton, DO

  • Family Medicine Physician
  • Forest Grove, OR
  • NPI 1548520869
  NPD Authorized official

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1336817972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL # 100-42",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "971-344-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL # 100-42",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "971-344-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE HEATH NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "971-344-7365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "OP60798348",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "DO171244",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willaclare Franklin Crank
• Scott Daniel Crawford, ATC, CSCS
• Stephanie K. Crawford, M.S. CCC-SLP
• Samual S Craytor, MA
• Emerson Leigh Creager
• Creative Counseling Connection, LLC
• Creative Presence Counseling LLC
• Sami Cregger
• Jonathan Creme
• Rachel Crews, M.S., CCC-SLP

• Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.