NPIMap

Organization Active NPI

Panacea Health & Wellness, LLC

  • Naturopath
  • Beaverton, OR
National Provider Identifier
1508487752
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
PANACEA HEALTH & WELLNESS, LLC
Practice address
5000 SW Butternut PL
Beaverton, OR 97078-2403
Phone
(503) 278-6377
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Sydney Hwang, ND, LACNPI 1942735535
Title
ND, Lac
Phone
(503) 278-6377

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

5000 SW Butternut PL
Beaverton, OR 97078-2403

Mailing address

5000 SW Butternut PL
Beaverton, OR 97078-2403

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BEAVERTON

National Provider Directory

National Provider Directory

Locations

20510 SW Roy Rogers Rd
Ste 100
Sherwood, OR 97140
Phone (503) 810-5333

Practitioners & affiliated clinicians

Practitioners 5

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": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1508487752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SW BUTTERNUT PL",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970782403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SW BUTTERNUT PL",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970782403",
            "telephone_number": "503-278-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "ND, LAC",
        "authorized_official_telephone_number": "503-278-6377",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BEAVERTON",
            "affiliation": "N",
            "address_1": "5000 SW Butternut Pl",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970782403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.