Individual provider Active NPI

Jennifer Suzanne Tufenkian, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1609901230
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1053 Issued in OR
Practice address
4110 SE Hawthorne Blvd
#629
Portland, OR 97214-4026
Phone
(503) 894-9677
Fax
(833) 315-1018
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1053 OR Primary

Addresses

Primary practice location

4110 SE Hawthorne Blvd
#629
Portland, OR 97214-4026

Mailing address

4110 SE Hawthorne Blvd
#629
Portland, OR 97214-4026
Phone (503) 894-9677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1053ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enjoy Full Health LLC Naturopath Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1609901230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SE HAWTHORNE BLVD",
            "address_2": "#629",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144026",
            "telephone_number": "503-894-9677",
            "fax_number": "833-315-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 SE HAWTHORNE BLVD",
            "address_2": "#629",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144026",
            "telephone_number": "503-894-9677",
            "fax_number": "833-315-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFENKIAN",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1053",
            "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 May 14, 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.