Organization Active NPI

Northwest Health Specialties

  • Naturopath
  • Vancouver, WA
National Provider Identifier
1447609128
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60416820 Issued in WA
Legal business name
NORTHWEST HEALTH SPECIALTIES
Practice address
16703 SE McGillivray Blvd
Vancouver, WA 98683-4300
Phone
(541) 791-6052
Fax
(360) 841-7672
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Dr. Julia Mortlock, ND, LACNPI 1639508831
Title
Manager, Member
Phone
(541) 791-6052

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60416884 WA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60603307 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60416820 WA Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60624606 WA

Addresses

Primary practice location

16703 SE McGillivray Blvd
Vancouver, WA 98683-4300

Mailing address

7121 SW 29TH Ave
Portland, OR 97219-1907
Phone (541) 791-6052

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2096101Northwest Health Specialties LLC16703 SE McGillivray Blvd Ste 175, Vancouver, WA 98683Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

16703 SE McGillivray Blvd
Vancouver, WA 98683
Phone (360) 989-7347

Practitioners & affiliated clinicians

Practitioners 2

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": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1447609128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 SW 29TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191907",
            "telephone_number": "541-791-6052",
            "fax_number": "360-841-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16703 SE MCGILLIVRAY BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834300",
            "telephone_number": "541-791-6052",
            "fax_number": "360-841-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HEALTH SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "MORTLOCK",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MANAGER, MEMBER",
        "authorized_official_telephone_number": "541-791-6052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60416884",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60603307",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60416820",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60624606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.