Organization Active NPI

Grow Medical, LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1396159109
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1959 Issued in OR
Legal business name
GROW MEDICAL, LLC
Practice address
8375 SW Beaverton Hillsdale Hwy
Suite C
Portland, OR 97225-2252
Phone
(503) 206-6996
Fax
(888) 959-9018
NPI assigned
Jun 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Camella Potter, N.D.
Title
Owner/Physician
Phone
(971) 258-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 1959 OR Primary

Addresses

Primary practice location

8375 SW Beaverton Hillsdale Hwy
Suite C
Portland, OR 97225-2252

Mailing address

234 SE 52ND Ave
Portland, OR 97215-1132
Phone (971) 258-0708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1396159109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SE 52ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151132",
            "telephone_number": "971-258-0708",
            "fax_number": "888-959-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252252",
            "telephone_number": "503-206-6996",
            "fax_number": "888-959-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "CAMELLA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "971-258-0708",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 19, 2014; 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.