Individual provider Active NPI

Jennifer Bentch

  • Naturopath
  • Tigard, OR
National Provider Identifier
1356012744
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4405 Issued in OR
Practice address
15875 SW 72ND Ave
Tigard, OR 97224-7913
Phone
(503) 855-4341
NPI assigned
Sep 24, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4405 OR Primary

Addresses

Primary practice location

15875 SW 72ND Ave
Tigard, OR 97224-7913

Mailing address

15875 SW 72ND Ave
Tigard, OR 97224-7913
Phone (503) 855-4341

Other identifiers 1

IdentifierTypeStateIssuer
4405OtherORSTATE OF OREGON - BOARD OF NATUROPATHIC MEDICINE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbentch@nwim.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4405ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Integrative Medicine, PC Naturopath CurrentSince Sep 28, 2021 Accepting new patients

Locations

15875 SW 72nd Ave
Tigard, OR 97224
Phone (503) 855-4341

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26270/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.bentch.1@23768.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1356012744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15875 SW 72ND AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247913",
            "telephone_number": "503-855-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15875 SW 72ND AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247913",
            "telephone_number": "503-855-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTCH",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON - BOARD OF NATUROPATHIC MEDICINE",
            "identifier": "4405",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbentch@nwim.org",
            "affiliation": "N",
            "endpointDescription": "Electronic health records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15875 SW 72nd Ave",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972247913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.