Organization Active NPI

Bountiful Health Family Medicine, LLC

  • Naturopath
  • Canby, OR
National Provider Identifier
1407337074
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
2041 Issued in OR
Legal business name
BOUNTIFUL HEALTH FAMILY MEDICINE, LLC
Practice address
170 NW 2ND Ave
Canby, OR 97013-3729
Phone
(503) 360-6694
Fax
(888) 975-8027
NPI assigned
Aug 22, 2018
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
BOUNTIFUL HEALTH FAMILY MEDICINE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Andrea Bowden Greiner, ND, LACNPI 1669876371
Title
Owner/Doctor
Phone
(503) 360-6694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X 2041 OR Primary

Addresses

Primary practice location

170 NW 2ND Ave
Canby, OR 97013-3729

Mailing address

170 NW 2ND Ave
Canby, OR 97013-3729
Phone (503) 266-2997

National Provider Directory

National Provider Directory
Part of
Bountiful Health Family Medicine LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1407337074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133729",
            "telephone_number": "503-266-2997",
            "fax_number": "888-975-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133729",
            "telephone_number": "503-360-6694",
            "fax_number": "888-975-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNTIFUL HEALTH FAMILY MEDICINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOUNTIFUL HEALTH FAMILY MEDICINE, LLC",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "GREINER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BOWDEN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "503-360-6694",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.