Wilsonville Natural Medicine, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WILSONVILLE NATURAL MEDICINE, LLC

Practice address

8855 SW Holly LN Ste 105
Wilsonville, OR 97070-8792

Phone

(503) 855-3244

Fax

(503) 855-3597

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kim Loren Schmaltz, ND, DCNPI 1255338273

Title

Owner/Clinician

Phone

(503) 855-3244

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Loren Schmaltz, N.D., D.C.

  • Naturopath
  • Wilsonville, OR
  • NPI 1255338273
  NPD Authorized official

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1548832736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2086",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970702086",
            "telephone_number": "503-855-3244",
            "fax_number": "503-855-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 SW HOLLY LN STE 105",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708792",
            "telephone_number": "503-855-3244",
            "fax_number": "503-855-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSONVILLE NATURAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "SCHMALTZ",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "503-855-3244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MALPRACTICE POLICY NUMBER",
            "identifier": "CM00126432",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freedom Wilson
• Wilsonville Chiropractic Clinic, P.C.
• Wilsonville Dental Group
• Wilsonville Dental Group PC
• Wilsonville Healthcare LLC
• Wilsonville Smiles PC
• Wilsonville Vision Center PC
• Windfield Village
• Jeanene Teresa Wold, LMT
• Tezeta H Workie, COTA

• Health Service Clinic/Center in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Health Service Clinic/Center in Oregon

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