Meghan Ellen Revoir Bennett, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

2062 Issued in OR

Practice address

330 SE 3Rd Street
Troutdale, OR 97060

Phone

(503) 863-4451

Fax

(503) 419-6202

NPI assigned

Oct 13, 2014

Last updated

Mar 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: meghan.bennett.1@28115.direct.athenahealth.com

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

• Living Wellness Naturopathic Clinic LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1477083616
  NPD (past) Authorized official

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1467856955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 SE MORRISON ST",
            "address_2": "APT. 328",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143191",
            "telephone_number": "503-863-4451",
            "fax_number": "503-419-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SE 3RD STREET",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "97060",
            "telephone_number": "503-863-4451",
            "fax_number": "503-419-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MEGHAN",
        "middle_name": "ELLEN REVOIR",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greyson Thomas Aragon
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• Attentive Counseling
• Diana Gabriela Barajas Lopez, RDH EPDH
• Jonathan D Benton, DO
• Emily C Bier, M.D.
• Jonathan T Bloemers, OD
• Emily Barbara Boggess, DC
• Andrez Borja

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.