Dr. Julia Mortlock LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60416820 Issued in WA

Legal business name

DR. JULIA MORTLOCK LLC

Practice address

16904 SE 1St St Ste 104
Vancouver, WA 98684-8511

Phone

(541) 979-6467

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Julia Mortlock, ND, LACNPI 1639508831

Title

Member, Owner

Phone

(541) 979-6467

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Mortlock, ND, LAC

  • Naturopath
  • Vancouver, WA
  • NPI 1639508831

  Acupuncturist

  NPD (past) Authorized official

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1346679164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 SW 29TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16904 SE 1ST ST STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848511",
            "telephone_number": "541-979-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JULIA MORTLOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "MORTLOCK",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MEMBER, OWNER",
        "authorized_official_telephone_number": "541-979-6467",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60416884",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC164766",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60416820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr Wade D Burbank BS DC P S
• Dr. Dawnrenee Cinocco MD PLLC
• Dr. Esam Alazzabi PLLC
• Dr. Peter G. Phillips, PS
• Dr. Vaughn W Teuscher DDS, PS
• Ashley J Drake
• Michelle L Drake, MA, LMHC
• Christopher John Drakos

• Naturopath in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.