Active NPI
Keivan Jinnah, ND, Lac, PC
- Naturopath
- Portland, OR
National Provider Identifier
1366586703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0972
- Legal business name
- KEIVAN JINNAH, ND, LAC, PC
- Practice address
- 3007 SE Belmont St
Portland, OR 97214-4026 - Phone
- (503) 445-7115
- Fax
- (503) 445-7116
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keivan A. Jinnah, ND, LAC.
- Title
- President
- Phone
- (503) 445-7115
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00393 | OR | |
| Naturopath | 175F00000X | 0972 | OR | Primary |
Addresses
Primary practice location
3007 SE Belmont St
Portland, OR 97214-4026
Mailing address
3007 SE Belmont St
Portland, OR 97214-4026
Phone (503) 445-7115
Other names 1
- Natural Choices Health Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522627200000",
"number": "1366586703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 SE BELMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144026",
"telephone_number": "503-445-7115",
"fax_number": "503-445-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 SE BELMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144026",
"telephone_number": "503-445-7115",
"fax_number": "503-445-7116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEIVAN JINNAH, ND, LAC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2018-04-02",
"status": "A",
"authorized_official_last_name": "JINNAH",
"authorized_official_first_name": "KEIVAN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-445-7115",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND, LAC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00393",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Naturopath",
"state": "OR",
"license": "0972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Natural Choices Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.