Organization Active NPI

Kangfulin Naturopathy Center, LLC

  • Naturopath
  • Hillsboro, OR
National Provider Identifier
1407672389
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
KANGFULIN NATUROPATHY CENTER, LLC
Practice address
3699 NE John Olsen Ave Unit 2
Hillsboro, OR 97124-5815
Phone
(971) 406-9079
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Dingding Wang
Title
Manager
Phone
(971) 226-6906

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

3699 NE John Olsen Ave Unit 2
Hillsboro, OR 97124-5815

Mailing address

3699 NE John Olsen Ave Unit 2
Hillsboro, OR 97124-5815
Phone (971) 406-9079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250609003255 OR Part B Supplier - Clinic/Group Practice 4688184674 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsboro, OR

National Provider Directory

National Provider Directory

Locations

3699 NE John Olsen Ave
Unit 2
Hillsboro, OR 97124
Phone (971) 406-9079

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1407672389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 NE JOHN OLSEN AVE UNIT 2",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245815",
            "telephone_number": "971-406-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 NE JOHN OLSEN AVE UNIT 2",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245815",
            "telephone_number": "971-406-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANGFULIN NATUROPATHY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "DINGDING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "971-226-6906"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.