Active NPI
Halcyon Medical LLC
- Clinic/Center
- Portland, OR
National Provider Identifier
1477038941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HALCYON MEDICAL LLC
- Practice address
- 2232 NW Pettygrove St
Portland, OR 97210-2372 - Phone
- (503) 395-7736
- NPI assigned
- Oct 1, 2018
- 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
- Dr. Chad Muncrief, ND
- Title
- Member
- Phone
- (503) 839-2376
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2232 NW Pettygrove St
Portland, OR 97210-2372
Mailing address
PO Box 14772
Portland, OR 97293-0772
Other names 1
- Oregon Medical & Laser
National Provider Directory
National Provider DirectoryLocations
2232 NW Pettygrove St
Portland, OR 97210
Phone (503) 552-1552
3537 N Williams Ave
Portland, OR 97227
Phone (503) 309-8622
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Naturopath
- Portland, OR
- NPI 1710461900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714348800000",
"number": "1477038941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14772",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972930772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 NW PETTYGROVE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102372",
"telephone_number": "503-395-7736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALCYON MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-01",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A",
"authorized_official_last_name": "MUNCRIEF",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "503-839-2376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oregon Medical & Laser",
"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 Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.