NPIMap

Organization Active NPI

Restorative Health Clinic of Portland LLC

  • Clinic/Center
  • Milwaukie, OR
National Provider Identifier
1538761671
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RESTORATIVE HEALTH CLINIC OF PORTLAND LLC
Practice address
6564 SE Lake Rd Ste 100
Milwaukie, OR 97222-2238
Phone
(503) 780-6921
NPI assigned
Nov 13, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Melanie Stein, NDNPI 1235699489
Title
Owner
Phone
(503) 780-6921

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

6564 SE Lake Rd Ste 100
Milwaukie, OR 97222-2238

Mailing address

15657 SW 82ND Ave
Portland, OR 97224-7515
Phone (503) 780-6921

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1538761671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15657 SW 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247515",
            "telephone_number": "503-780-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6564 SE LAKE RD STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222238",
            "telephone_number": "503-780-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE HEALTH CLINIC OF PORTLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-780-6921",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.