Organization Active NPI

Holistic Treatment Center & Spa

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1407249394
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC158098 Issued in OR
Legal business name
HOLISTIC TREATMENT CENTER & SPA
Practice address
2075 SW 1St Ave Ste 1C
Portland, OR 97201-5314
Phone
(503) 953-3100
NPI assigned
Mar 17, 2015
Organization subpart
Yes
Parent organization
HOLISTIC ADULT DAY CENTER & SPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Zohreh Pashandi I, AC
Title
Manager
Phone
(971) 717-6882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC158098 OR Primary

Addresses

Primary practice location

2075 SW 1St Ave Ste 1C
Portland, OR 97201-5314

Mailing address

2075 SW 1St Ave Ste 1C
Portland, OR 97201-5314
Phone (503) 953-3100

National Provider Directory

National Provider Directory
Part of
Holistic Treatment Center Spa

Locations

2075 SW 1st Ave
Ste 1C
Portland, OR 97201
Phone (503) 953-3100

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1407249394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SW 1ST AVE STE 1C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015314",
            "telephone_number": "503-953-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SW 1ST AVE STE 1C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015314",
            "telephone_number": "503-953-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC TREATMENT CENTER & SPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLISTIC ADULT DAY CENTER & SPA",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "PASHANDI",
        "authorized_official_first_name": "ZOHREH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "971-717-6882",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "AC158098",
            "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 Mar 17, 2015; 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.