NPIMap

Organization Active NPI

Merritt Health and Wellness LLC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1437403623
Registry record updated Feb 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
200850079NP Issued in OR
Legal business name
MERRITT HEALTH AND WELLNESS LLC
Practice address
6519 SE Milwaukie Ave
Portland, OR 97202-5519
Phone
(971) 258-1120
NPI assigned
Nov 9, 2012
Last updated
Feb 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2013

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

Authorized official

Name
Seth Merritt, FNPNPI 1528259884
Title
Owner, Nurse Practitioner
Phone
(971) 258-1120

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 200850079NP OR Primary

Addresses

Primary practice location

6519 SE Milwaukie Ave
Portland, OR 97202-5519

Mailing address

PO Box 82221
Portland, OR 97282-0221
Phone (971) 258-1120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000514 OR Part B Supplier - Clinic/Group Practice 1052565777 Receives reassigned benefits from 8 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

6035 SE Milwaukie Ave
Portland, OR 97202
Phone (971) 258-1120

6519 SE Milwaukie Ave
Portland, OR 97202
Phone (971) 258-1120

975 SE Sandy Blvd
Ste 230
Portland, OR 97214
Phone (503) 379-1902

Practitioners & affiliated clinicians

Practitioners 9

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": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360454400000",
    "number": "1437403623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82221",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972820221",
            "telephone_number": "971-258-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025519",
            "telephone_number": "971-258-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2013-02-10",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "971-258-1120",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "200850079NP",
            "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 Feb 10, 2013; 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.