Organization Active NPI

Stephanie K Farrell ND, LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1376946582
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1604 Issued in OR
Legal business name
STEPHANIE K FARRELL ND, LLC
Doing business as
Stephanie Farrell
Practice address
5201 SW Westgate Dr BLDG B
# 100
Portland, OR 97221-2412
Phone
(503) 446-5820
Fax
(503) 208-8033
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Stephanie K Farrell, ND
Title
Owner
Phone
(503) 446-5820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 1604 OR Primary

Addresses

Primary practice location

5201 SW Westgate Dr BLDG B
# 100
Portland, OR 97221-2412

Mailing address

PO Box 25763
Portland, OR 97298-0763
Phone (503) 446-5820

Other practice location 1

516 SE Morrison St Ste 207
Portland, OR 97214-6303
Phone (503) 239-1022

Other practice location 2

8375 SW Beaverton Hillsdale Hwy Ste A
Portland, OR 97225-2252
Phone (503) 206-6996

Other names 1

  • Stephanie Farrell Doing business as

National Provider Directory

National Provider Directory

Locations

8375 SW Beaverton Hillsdale Hwy
Ste A
Portland, OR 97225
Phone (503) 206-6996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1376946582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25763",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972980763",
            "telephone_number": "503-446-5820",
            "fax_number": "503-208-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 SW WESTGATE DR BLDG B",
            "address_2": "# 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212412",
            "telephone_number": "503-446-5820",
            "fax_number": "503-208-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 SE Morrison St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972146303",
            "country_code": "US",
            "telephone_number": "503-239-1022",
            "fax_number": "503-208-8033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8375 SW Beaverton Hillsdale Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972252252",
            "country_code": "US",
            "telephone_number": "503-206-6996",
            "fax_number": "888-959-9018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHANIE K FARRELL ND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-446-5820",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Farrell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stephanie Farrell",
            "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 Jun 11, 2019; 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.