Active NPI
Northwest Health Specialties
- Naturopath
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60416820
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julia Mortlock, ND, LAC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC60416884 | WA | |
| Acupuncturist | 171100000X | AC60603307 | WA | |
| Naturopath | 175F00000X | NT60416820 | WA | Primary |
| Naturopath | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2096101 | Northwest Health Specialties LLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- Northwest Child and Family Clinic, P.C.
- Northwest Coast Injury Mkedicine
- Northwest Emdr Therapy LLC
- Northwest Gynecology Associates PLLC
- Northwest Health and Safety Inc
- Northwest Healthcare
- Northwest Massage LLC
- Northwest Medical Associates,PS
- Northwest Medical Inc (Western Medical Specialties Vancouver)
- Northwest Neurology and Sleep Clinic Inc (Northwest Neurology and Sleep Clinic)
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.