NPIMap

Organization Active NPI

Healing Path Holistic Medicine Clinic

  • Acupuncturist
  • Milwaukie, OR
National Provider Identifier
1346301280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00694 Issued in OR
Legal business name
HEALING PATH HOLISTIC MEDICINE CLINIC
Practice address
3880 SE Harrison St
Suite B
Milwaukie, OR 97222-5899
Phone
(503) 513-4665
Fax
(503) 513-4663
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Anja Middelveld, L.AC.
Title
Co-Owner
Phone
(503) 513-4665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00694 OR Primary

Addresses

Primary practice location

3880 SE Harrison St
Suite B
Milwaukie, OR 97222-5899

Mailing address

3880 SE Harrison St
Suite B
Milwaukie, OR 97222-5899
Phone (503) 513-4665

National Provider Directory

National Provider Directory
Tax ID family
Healing Path Holistic Clinic2 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.

Locations

3880 SE Harrison St
Ste B
Milwaukie, OR 97222
Phone (503) 513-4665

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346301280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SE HARRISON ST",
            "address_2": "SUITE B",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225899",
            "telephone_number": "503-513-4665",
            "fax_number": "503-513-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SE HARRISON ST",
            "address_2": "SUITE B",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225899",
            "telephone_number": "503-513-4665",
            "fax_number": "503-513-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATH HOLISTIC MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDDELVELD",
        "authorized_official_first_name": "ANJA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-513-4665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, 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.