The Heartwood Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AC173854 Issued in OR

Legal business name

THE HEARTWOOD CLINIC

Practice address

723 NW 18TH Avenue
Portland, OR 97209-2315

Phone

(503) 791-4648

NPI assigned

Jan 2, 2016

Organization subpart

No

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

Authorized official

Name

Sara Elizabeth Bergman, LACNPI 1104282474

Title

Acupuncturist and Clinic Owner

Phone

(503) 791-4648

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Sara E Bergman, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1104282474
  NPD Authorized official
• Sadie Alexandra Kimball

  • Massage Therapist
  • Portland, OR
  • NPI 1417752031
  NPD (past)
• Susan Elizabeth Manongi, ND, L.AC.

  • Naturopath
  • Portland, OR
  • NPI 1073098596
  NPD (past)
• Alison Elizabeth Schneider, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1528731304
  NPD (past)

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1477919744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 NW 18TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092315",
            "telephone_number": "503-791-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 NW 18TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092315",
            "telephone_number": "503-791-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEARTWOOD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-02",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ACUPUNCTURIST AND CLINIC OWNER",
        "authorized_official_telephone_number": "503-791-4648",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "AC173854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500706395",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.