Wild Naturopathic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2048 Issued in OR

Legal business name

WILD NATUROPATHIC

Practice address

5505 SE Woodstock Blvd
Portland, OR 97206-6828

Phone

(503) 757-6034

Fax

(971) 256-9905

NPI assigned

Jun 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Hilary Elizabeth Miller, ND

Title

Naturopath

Phone

(503) 757-6034

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435449600000",
    "number": "1609258441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 SE WOODSTOCK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 SE WOODSTOCK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066828",
            "telephone_number": "503-757-6034",
            "fax_number": "971-256-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD NATUROPATHIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-28",
        "last_updated": "2015-06-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NATUROPATH",
        "authorized_official_telephone_number": "503-757-6034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "2048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wild Heart Natural Medicine LLC
• Wild Hearts PDX
• Wild Hearts Wellness LLC
• Wild Lilac Child Development Community
• Wild Moss Wellness LLC
• Wild Open Being, LLC
• Katherine Versenyi Wild, PHD
• Lucy Marden Wild, RD
• Austen Wilde, LPC
• Darcy Wilde, MSW, LCSW

• Primary Care Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.