Individual provider Active NPI

Stephen Philip Levy, N.D., L.AC., L.M.T.

  • Naturopath
  • Portland, OR
National Provider Identifier
1528408291
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1893 Issued in OR
Practice address
1016 SE 12TH Ave
Portland, OR 97214-2513
Phone
(503) 831-8116
Fax
(503) 410-7116
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC157837 OR
Naturopath 175F00000X 1893 OR Primary

Addresses

Primary practice location

1016 SE 12TH Ave
Portland, OR 97214-2513

Mailing address

16785 SW Annie LN
Aloha, OR 97078-2505
Phone (503) 720-7418

Other practice location 1

1221 SE Madison St
Portland, OR 97214-3890
Phone (503) 445-7767

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drstephenlevy@org66.direct.charmhealth.com Direct
Direct Messaging Address drstephenlevy@org66.direct.charmhealth.com Direct

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

State licenses

LicenseStateTypeSpecialty
AC157837ORMDAcupuncturist
1893ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1528408291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16785 SW ANNIE LN",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970782505",
            "telephone_number": "503-720-7418",
            "fax_number": "503-410-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142513",
            "telephone_number": "503-831-8116",
            "fax_number": "503-410-7116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 SE Madison St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972143890",
            "country_code": "US",
            "telephone_number": "503-445-7767",
            "fax_number": "503-459-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "STEPHEN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "N.D., L.AC., L.M.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC157837",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drstephenlevy@org66.direct.charmhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1016 SE 12th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972142513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drstephenlevy@org66.direct.charmhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1016 SE 12th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972142513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 6, 2024; 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.