Organization Active NPI

Samaritan Integrative Medicine, LLC

Doing business as Corvallis Heartspring Wellness Center

  • Naturopath
  • Corvallis, OR
National Provider Identifier
1568632180
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
SAMARITAN INTEGRATIVE MEDICINE, LLC
Doing business as
Corvallis Heartspring Wellness Center
Practice address
990 NW Circle Boulevard
Corvallis, OR 97330-1410
Phone
(541) 768-6412
Fax
(541) 768-6643
NPI assigned
Mar 11, 2008
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Mr. Steven W Jasperson
Title
Ceo
Phone
(541) 768-5009

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Acupuncturist 171100000X NU
Naturopath 175F00000X NU Primary
Massage Therapist 225700000X NU

Addresses

Primary practice location

990 NW Circle Boulevard
Corvallis, OR 97330-1410

Mailing address

815 NW 9TH Street
Suite 259
Corvallis, OR 97330-6173
Phone (541) 768-6768

Other names 1

  • Corvallis Heartspring Wellness Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

815 NW 9th St
Ste 259
Corvallis, OR 97330

990 NW Circle Blvd
Corvallis, OR 97330
Phone (541) 768-6412

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": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1568632180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NW 9TH STREET",
            "address_2": "SUITE 259",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306173",
            "telephone_number": "541-768-6768",
            "fax_number": "541-768-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 NW CIRCLE BOULEVARD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301410",
            "telephone_number": "541-768-6412",
            "fax_number": "541-768-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "JASPERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-768-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corvallis Heartspring Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.