Katherine Souza, ND, LAC, LMT

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4278 Issued in OR

Practice address

511 SW 10TH Ave Ste 1107
Portland, OR 97205-2712

Phone

(503) 894-8977

Fax

(833) 551-4832

NPI assigned

Feb 13, 2019

Last updated

Jan 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Clinic of Natural Medicine

  • Naturopath
  • Portland, OR
  • NPI 1841843778

  Acupuncturist

  NPD
• Hawthorne Chiropractic PC

  • Chiropractor
  • Portland, OR
  • NPI 1144253139
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1568928612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 NE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116730",
            "telephone_number": "415-335-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052712",
            "telephone_number": "503-894-8977",
            "fax_number": "833-551-4832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972021017",
            "country_code": "US",
            "telephone_number": "503-231-9879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "KATHERINE",
        "credential": "ND, LAC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC190438",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "023619",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W. Southworth, D. M. D.
• Justin Souvanlasy, DC
• Courtney Souza-Steinert, OTR/L
• Joyce Souza, L.M.T
• Kambria Souza
• Maddison Souza, PA-C
• Phoebe Milan Souza, MSW, LCSW, MPH
• Myah Rowan Sova, CADC R
• Sovalti LLC
• Justin Sovich

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.