Healing Presence Family Practice, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HEALING PRESENCE FAMILY PRACTICE, PC

Practice address

30250 SW Parkway Ave
Suite 7
Wilsonville, OR 97070-9757

Phone

(503) 819-9726

NPI assigned

Apr 16, 2007

Last updated

Jul 31, 2007By 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

Carla Rayne Anderson, FNP-CNPI 1144211913

Title

Owner

Phone

(503) 819-9726

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Carla Rayne Anderson, FNP

  • Family Nurse Practitioner
  • Wilsonville, OR
  • NPI 1144211913
  Authorized official Same address or phone

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1376768572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29030 SW TOWN CENTER LOOP E",
            "address_2": "SUITE 202 PO BOX 260",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709490",
            "telephone_number": "503-819-9726",
            "fax_number": "503-582-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30250 SW PARKWAY AVE",
            "address_2": "SUITE 7",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709757",
            "telephone_number": "503-819-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PRESENCE FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "RAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-819-9726",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070131",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danna Lynn Hartung, MASSAGE THERAPIST
• Lori Hatch, PT
• Cheryl Dawn Havens, RDN
• Carla Yvonne Hayden, OTR/L
• Bree Hayman, PTA
• Heartwood Healing Center
• Sarah Hecox, DPT
• Samuel Victor Heilenbach
• Cristina Danielle Heim, PHARMD
• Robert Forrest Henry, PH.D.

• Primary Care Clinic/Center in Wilsonville, OR
• Providers in Wilsonville, 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 31, 2007; 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.