NPIMap

Organization Active NPI

Corvallis Natural Medicine, Inc

  • Naturopath
  • Corvallis, OR
National Provider Identifier
1376856864
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1514 Issued in OR
Legal business name
CORVALLIS NATURAL MEDICINE, INC
Practice address
999 NW Circle Blvd
Corvallis, OR 97330-1408
Phone
(541) 754-2225
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Deborah Nixdorf, ND, LAC
Title
Owner/President
Phone
(541) 754-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC01019 OR
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 1514 OR Primary

Addresses

Primary practice location

999 NW Circle Blvd
Corvallis, OR 97330-1408

Mailing address

999 NW Circle Blvd
Corvallis, OR 97330-1408

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1376856864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 NW CIRCLE BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 NW CIRCLE BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301408",
            "telephone_number": "541-754-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORVALLIS NATURAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "NIXDORF",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "541-754-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01019",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.