Active NPI
Willamette Integrative Health LLC
- Multi-Specialty Clinic/Center
- Wilsonville, OR
National Provider Identifier
1508280918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2074958 | Willamette Integrative Health LLC | Certificate of waiver | Mar 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.