Fanno Creek Healing Arts LLP

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1881 Issued in OR

Legal business name

FANNO CREEK HEALING ARTS LLP

Practice address

4530 SW Hall Blvd
Beaverton, OR 97005-0504

Phone

(503) 277-3699

NPI assigned

Nov 23, 2012

Organization subpart

No

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

Authorized official

Name

Heidi Clark

Title

ND, Lac

Phone

(503) 277-3699

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1407190952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050504",
            "telephone_number": "503-277-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050504",
            "telephone_number": "503-277-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNO CREEK HEALING ARTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "ND, LAC",
        "authorized_official_telephone_number": "503-277-3699"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3156",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC156029",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Fall
• Sarah Frances Butler Fan, L.AC.
• Yun Fan, O.D.
• Tzann T Fang, MD
• Michael R.R. Fanning
• Emebet Fekadu Fantahun, RN
• Lisa A Fargo, LMT
• Noha Farhat
• Salma Faris, PA-C
• Hannah Farmer

• Naturopath in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; 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.