Organization Active NPI

First Star Natural Medicine

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1437520871
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3011 Issued in OR
Legal business name
FIRST STAR NATURAL MEDICINE
Practice address
2161 NE Broadway St
Portland, OR 97232-1512
Phone
(503) 331-1800
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Wahji Wijapi Kasten, N.D., L.AC.
Title
Dr.
Phone
(503) 201-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3011 OR Primary

Addresses

Primary practice location

2161 NE Broadway St
Portland, OR 97232-1512

Mailing address

2161 NE Broadway St
Portland, OR 97232-1512
Phone (503) 331-1800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1437520871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321512",
            "telephone_number": "503-331-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321512",
            "telephone_number": "503-331-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STAR NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "KASTEN",
        "authorized_official_first_name": "WAHJI",
        "authorized_official_middle_name": "WIJAPI",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "503-201-6565",
        "authorized_official_credential": "N.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "3011",
            "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 12, 2015; 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.