Dr.Niti's Naturalways Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1389865-0 Issued in OR

Legal business name

DR.NITI'S NATURALWAYS PEDIATRICS

Practice address

1815 NW Flanders St
Suite 104
Portland, OR 97209-2060

Phone

(503) 224-1224

Fax

(503) 224-1353

NPI assigned

Jul 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nitikul Solomon, M.D.

Title

President

Phone

(503) 224-1224

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Naturalways Pediatrics Other name

Locations

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1366754590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 NW FLANDERS ST STE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092060",
            "telephone_number": "503-224-1224",
            "fax_number": "503-224-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 NW FLANDERS ST",
            "address_2": "SUITE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092060",
            "telephone_number": "503-224-1224",
            "fax_number": "503-224-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.NITI'S NATURALWAYS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "NITIKUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-224-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "1389865-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025923",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL PRACTITIONER)",
            "identifier": "1508833047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naturalways Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Primary Care Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.