NPIMap

Organization Active NPI

Verdura Family Wellness, Inc

Doing business as Verdura Family Wellness, Inc-Carlton

  • Rural Health Clinic/Center
  • Carlton, OR
National Provider Identifier
1346507746
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VERDURA FAMILY WELLNESS, INC
Doing business as
Verdura Family Wellness, Inc-Carlton
Practice address
348 S Pine St
Carlton, OR 97111-1228
Phone
(503) 648-8210
Fax
(503) 648-8283
NPI assigned
Apr 23, 2012
Last updated
Apr 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Sara Miller
Title
Practice Manager
Phone
(503) 648-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

348 S Pine St
Carlton, OR 97111-1228

Mailing address

434 S 1St Ave Ste 300
Hillsboro, OR 97123-3957
Phone (503) 648-8210

Other names 1

  • Verdura Family Wellness, Inc-Carlton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Verdura Family Wellness Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1346507746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 S 1ST AVE STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233957",
            "telephone_number": "503-648-8210",
            "fax_number": "503-648-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S PINE ST",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "971111228",
            "telephone_number": "503-648-8210",
            "fax_number": "503-648-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDURA FAMILY WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "503-648-8210"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verdura Family Wellness, Inc-Carlton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.