NPIMap

Organization Active NPI

Beaverton Naturopathic Medicine

  • Naturopath
  • Beaverton, OR
National Provider Identifier
1407029457
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0704 Issued in OR
Legal business name
BEAVERTON NATUROPATHIC MEDICINE
Practice address
4085 SW 109TH Ave
Suite 200
Beaverton, OR 97005-3000
Phone
(503) 643-1024
NPI assigned
Apr 10, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Judy Evelyn Peabody, N.D.
Title
Owner
Phone
(503) 643-1024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 0704 OR Primary

Addresses

Primary practice location

4085 SW 109TH Ave
Suite 200
Beaverton, OR 97005-3000

Mailing address

4085 SW 109TH Ave
Suite 200
Beaverton, OR 97005-3000
Phone (503) 643-1024

National Provider Directory

National Provider Directory

Locations

4085 SW 109th Ave
Ste 200
Beaverton, OR 97005
Phone (503) 228-5432

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1407029457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 SW 109TH AVE",
            "address_2": "SUITE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053000",
            "telephone_number": "503-643-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 SW 109TH AVE",
            "address_2": "SUITE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053000",
            "telephone_number": "503-643-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERTON NATUROPATHIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "PEABODY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-643-1024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.