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
Organization subpart
Yes
Parent organization
BOUNTIFUL HEALTH FAMILY MEDICINE, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Andrea Bowden Greiner, ND, LAC
Title
Owner/Doctor
Phone
(503) 360-6694

National Provider Directory

National Provider Directory
Part of
Bountiful Health Family Medicine LLC

Locations

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2018.

{
    "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.