NPIMap

Organization Active NPI

Earth Friendly Medicine, LLC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1447692579
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1941 Issued in OR
Legal business name
EARTH FRIENDLY MEDICINE, LLC
Practice address
4031 SE Hawthorne Blvd
Portland, OR 97214-5243
Phone
(503) 546-7663
Fax
(503) 231-6605
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Michelle Winchell, N.D., L.AC.
Title
Physician
Phone
(503) 546-7663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AC161444 OR
Primary Care Clinic/Center 261QP2300X 1941 OR Primary

Addresses

Primary practice location

4031 SE Hawthorne Blvd
Portland, OR 97214-5243

Mailing address

4031 SE Hawthorne Blvd
Portland, OR 97214-5243
Phone (503) 546-7663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1447692579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145243",
            "telephone_number": "503-546-7663",
            "fax_number": "503-231-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145243",
            "telephone_number": "503-546-7663",
            "fax_number": "503-231-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH FRIENDLY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "WINCHELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-546-7663",
        "authorized_official_credential": "N.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "AC161444",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "1941",
            "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 Aug 31, 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.