Nuwa Integrative Wellness, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NUWA INTEGRATIVE WELLNESS, LLC

Practice address

223 E Powell Blvd
Gresham, OR 97030-7605

Phone

(503) 667-1500

NPI assigned

Dec 21, 2023

Last updated

Sep 24, 2024By 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

Stephanie Eastin, LACNPI 1316205511

Title

Owner

Phone

(608) 769-5135

Specialties & licenses 3

Addresses

Tax ID family

Herrhythm Acupuncture and Reproductive Wellness LLC2 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.

• Herrhythm Acupuncture and Reproductive Wellness, LLC

  • Acupuncturist
  • Gresham, OR
  • NPI 1952074833
  NPD tax ID

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.

• Stephanie Eastin, L.AC.

  • Acupuncturist
  • Gresham, OR
  • NPI 1316205511
  NPD Authorized official

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1356110126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 SE PARK DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807825",
            "telephone_number": "608-769-5135",
            "fax_number": "503-893-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307605",
            "telephone_number": "503-667-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUWA INTEGRATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "EASTIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-769-5135",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Null, ND, LAC
• Kathryn Mae Nunley, QMHP
• Nurture Family Health, LLC
• Jesse Layne Nuttall, D.C.
• Natalie Renee Nutting, AAS
• NW Dietitian LLC
• NW Headache Center, LLC
• Rachael Susan Nye, BCBA
• Charles Richard O'Bannon, PH.D.
• Jane O'Brien

• Health Service Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.