Organization Active NPI

Elemental Healing Arts LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1427509702
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4013 Issued in OR
Legal business name
ELEMENTAL HEALING ARTS LLC
Practice address
5050 NE 13TH Ave
Portland, OR 97211-5080
Phone
(802) 236-8304
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Dr. William Theodore Badger, ND, LACNPI 1306396692
Title
Founder
Phone
(802) 236-8304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC179544 OR
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 4013 OR Primary

Addresses

Primary practice location

5050 NE 13TH Ave
Portland, OR 97211-5080

Mailing address

5050 NE 13TH Ave
Portland, OR 97211-5080
Phone (802) 236-8304

National Provider Directory

National Provider Directory

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": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1427509702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 NE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115080",
            "telephone_number": "802-236-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115080",
            "telephone_number": "802-236-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL HEALING ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "BADGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "802-236-8304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC179544",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4013",
            "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 Oct 20, 2016; 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.