Individual provider Active NPI

Mary Manqing Fu, ND

  • Naturopath
  • Portland, OR
National Provider Identifier
1487129524
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Practice address
15875 SW 72ND Ave
Portland, OR 97224-7913
Phone
(503) 855-4341
Fax
(833) 955-3574
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X Primary

Addresses

Primary practice location

15875 SW 72ND Ave
Portland, OR 97224-7913

Mailing address

15875 SW 72ND Ave
Portland, OR 97224-7913
Phone (503) 855-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Integrative Medicine, PC Naturopath CurrentSince Jan 12, 2025 Accepting new patients

Locations

15875 SW 72nd Ave
Tigard, OR 97224
Phone (503) 855-4341

Interoperability endpoints

  • Direct secure messaging: mary.fu.1@26270.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26270/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1487129524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15875 SW 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247913",
            "telephone_number": "503-855-4341",
            "fax_number": "833-955-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15875 SW 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247913",
            "telephone_number": "503-855-4341",
            "fax_number": "833-955-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FU",
        "first_name": "MARY",
        "middle_name": "MANQING",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "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 Jan 9, 2025; 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.