Active NPI
Holistic Treatment Center & Spa
- Clinic/Center
- Portland, OR
National Provider Identifier
1407249394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- AC158098
- 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 & SPA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.