NPIMap

Organization Active NPI

Wild Naturopathic

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1609258441
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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

Authorized official

Name
Dr. Hilary Elizabeth Miller, NDNPI 1891199410
Title
Naturopath
Phone
(503) 757-6034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2048 OR Primary

Addresses

Primary practice location

5505 SE Woodstock Blvd
Portland, OR 97206-6828

Mailing address

5505 SE Woodstock Blvd
Portland, OR 97206-6828

National Provider Directory

National Provider Directory

Locations

5505 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 757-6034

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": "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": []
}

Other providers in Portland, OR

Sources for this page

  • 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.