Organization Active NPI

Willamette Integrative Health LLC

  • Multi-Specialty Clinic/Center
  • Wilsonville, OR
National Provider Identifier
1508280918
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WILLAMETTE INTEGRATIVE HEALTH LLC
Practice address
25195 SW Parkway Ave
Suite 210
Wilsonville, OR 97070-9651
Phone
(971) 245-2185
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Dr. Elizabeth Christine Sedlak, N.D.
Title
Member
Phone
(503) 913-1029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

25195 SW Parkway Ave
Suite 210
Wilsonville, OR 97070-9651

Mailing address

25195 SW Parkway Ave
Suite 210
Wilsonville, OR 97070-9651

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2074958Willamette Integrative Health LLC25195 SW Parkway Ave Suite 210, Wilsonville, OR 97070Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory

Locations

25195 SW Parkway Ave
Ste 210
Wilsonville, OR 97070
Phone 8006403451 ext. 97070

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1508280918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25195 SW PARKWAY AVE",
            "address_2": "SUITE 210",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25195 SW PARKWAY AVE",
            "address_2": "SUITE 210",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709651",
            "telephone_number": "971-245-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "SEDLAK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-913-1029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.