Active NPI
Hive Mind Medicine Inc
- Multi-Specialty Clinic/Center
- Portland, OR
National Provider Identifier
1457959306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- HIVE MIND MEDICINE INC
- Practice address
- 6214 SE Milwaukie Ave
Portland, OR 97202-5417 - Phone
- (503) 224-0443
- NPI assigned
- Oct 13, 2020
- Last updated
- Oct 13, 2020
- 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
- Rosalind Donovan
- Title
- Owner
- Phone
- (503) 224-0443
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary | |
| Naturopath | 175F00000X | NU |
Addresses
Primary practice location
6214 SE Milwaukie Ave
Portland, OR 97202-5417
Mailing address
6152 SW 45TH Ave
Portland, OR 97221-3366
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602547200000",
"number": "1457959306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6152 SW 45TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972213366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6214 SE MILWAUKIE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972025417",
"telephone_number": "503-224-0443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIVE MIND MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A",
"authorized_official_last_name": "DONOVAN",
"authorized_official_first_name": "ROSALIND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-224-0443"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "NU",
"license": null,
"primary": false
}
],
"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 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.