Organization Active NPI

Lake Oswego Natural Health

  • Naturopath
  • Portland, OR
National Provider Identifier
1467027979
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
LAKE OSWEGO NATURAL HEALTH
Practice address
1516 SE 43Rd Ave
Portland, OR 97215-3112
Phone
(503) 419-7505
Fax
(503) 974-0954
NPI assigned
May 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Abendigo Reebs, NDNPI 1306385067
Title
Owner
Phone
(503) 419-7505

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

1516 SE 43Rd Ave
Portland, OR 97215-3112

Mailing address

1516 SE 43Rd Ave
Portland, OR 97215-3112
Phone (503) 419-7505

Other names 1

  • Portland Clinic of Natural Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1467027979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 SE 43RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153112",
            "telephone_number": "503-419-7505",
            "fax_number": "503-974-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SE 43RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153112",
            "telephone_number": "503-419-7505",
            "fax_number": "503-974-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OSWEGO NATURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "REEBS",
        "authorized_official_first_name": "ABENDIGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-419-7505",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Clinic of Natural Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 2021; 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.