Organization Active NPI

Living Wellness Naturopathic Clinic LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1477083616
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2062 Issued in OR
Legal business name
LIVING WELLNESS NATUROPATHIC CLINIC LLC
Practice address
7411 SE Powell Blvd
Portland, OR 97206-2451
Phone
(503) 227-1222
Fax
(503) 227-1555
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Dr. Meghan Ellen Revoir Bennett, NDNPI 1467856955
Title
Naturopathic Doctor
Phone
(503) 583-4245

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
Clinic/Center 261Q00000X 2062 OR Primary

Addresses

Primary practice location

7411 SE Powell Blvd
Portland, OR 97206-2451

Mailing address

3340 SE Morrison St Apt 328
Portland, OR 97214-3193
Phone (503) 583-4245

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": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1477083616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 SE MORRISON ST APT 328",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143193",
            "telephone_number": "503-583-4245",
            "fax_number": "503-419-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062451",
            "telephone_number": "503-227-1222",
            "fax_number": "503-227-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELLNESS NATUROPATHIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "ELLEN REVOIR",
        "authorized_official_title_or_position": "NATUROPATHIC DOCTOR",
        "authorized_official_telephone_number": "503-583-4245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "2062",
            "primary": true
        }
    ],
    "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 Jun 19, 2017; 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.