NPIMap

Organization Active NPI

Kevin C Wilson ND, PC

  • Naturopath
  • Hillsboro, OR
National Provider Identifier
1467625889
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
546 Issued in OR
Legal business name
KEVIN C WILSON ND, PC
Practice address
328 W Main St
Suite C
Hillsboro, OR 97123-3967
Phone
(503) 648-0484
Fax
(503) 681-9280
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Dr. Kevin C Wilson, NDNPI 1669508586
Title
Owner
Phone
(503) 648-0484

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 546 OR Primary
Clinic/Center 261Q00000X 546 OR

Addresses

Primary practice location

328 W Main St
Suite C
Hillsboro, OR 97123-3967

Mailing address

328 W Main St
Suite C
Hillsboro, OR 97123-3967
Phone (503) 648-0484

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": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1467625889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W MAIN ST",
            "address_2": "SUITE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233967",
            "telephone_number": "503-648-0484",
            "fax_number": "503-681-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W MAIN ST",
            "address_2": "SUITE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233967",
            "telephone_number": "503-648-0484",
            "fax_number": "503-681-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN C WILSON ND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-648-0484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "546",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.