Marc Simon, NATUROPATHIC DOCTOR

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4487 Issued in OR

Practice address

631 Jason St NE
Salem, OR 97301-2357

Phone

(971) 273-0084

Fax

(971) 925-5223

NPI assigned

Mar 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• NA NA Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Purehealth Medical Clinic, Corp

  • Naturopath
  • Salem, OR
  • NPI 1093525271
  NPD Authorized official
• Windhorse Naturopathic Inc

  • Naturopath
  • Brattleboro, VT
  • NPI 1356708770
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1447835087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "971-273-0084",
            "fax_number": "971-925-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "971-273-0084",
            "fax_number": "971-925-5223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Liberty St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973018386",
            "country_code": "US",
            "telephone_number": "503-390-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "NATUROPATHIC DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0134152",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "5.000684",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61356757",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700040052",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "credential": "ND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dee A Simmons, CADC I
• January E Simmons
• Rae Lynn Simmons
• Terry L. Simmons, LMT
• Krista Brianne Simon, BS
• Tamara Simonsen, QMHA
• Margrett Anne Simpkins, LPN
• Christopher Michael Simpson, PA
• Lori Jean Simpson, BS, QMHA
• Teresa Anne Sims

• Naturopath in Salem, OR
• Providers in Salem, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.