Active NPI
Sami Lee Ebner, DC, ND
- Naturopath
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 5133
- Practice address
- 436 SE 12TH Ave
Portland, OR 97214-1323 - Phone
- (971) 359-0012
- Fax
- (971) 484-1992
- NPI assigned
- Mar 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 5133 | OR | Primary |
| Chiropractor | 111N00000X | 6224 | OR |
Addresses
Primary practice location
436 SE 12TH Ave
Portland, OR 97214-1323
Mailing address
436 SE 12TH Ave
Portland, OR 97214-1323
Phone (971) 359-0012
Other practice location 1
1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322
Phone (503) 232-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6224 | OR | MD | Physical Therapist |
| 5133 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Natural Medicine, Inc | Chiropractor | Current | Accepting new patients |
| Be Well Acupuncture | Chiropractor | Current | Accepting new patients |
| Be Well Acupuncture | Past | Accepting new patients | |
| Be Well Acupuncture | Past | Accepting new patients | |
| Be Well Acupuncture | Past | Accepting new patients | |
| Be Well Acupuncture | Past | Accepting new patients | |
| Be Well Acupuncture | Naturopath | Past | Accepting new patients |
| Be Well Acupuncture | Chiropractor | Past | Accepting new patients |
| Be Well Acupuncture | Chiropractor | Past | Accepting new patients |
| Be Well Acupuncture | Past | Accepting new patients | |
| Be Well Acupuncture | Chiropractor | Past | Accepting new patients |
| Be Well Acupuncture | Past | Accepting new patients |
Locations
1330 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 232-1100
Interoperability endpoints
- https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4
- sami.ebner.1@22798.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1043317928
Chiropractor
-
- Medical Specialty Clinic/Center
- Portland, OR
- NPI 1215724059
-
dba Be Well Holistic Health
- Health Service Clinic/Center
- Portland, OR
- NPI 1568117042
-
dba Be Well Holistic Health
- Massage Therapist
- Portland, OR
- NPI 1609543487
Chiropractor
-
- Naturopath
- Portland, OR
- NPI 1669102950
-
dba Be Well Holistic Health
- Acupuncturist
- Portland, OR
- NPI 1972279685
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1619627759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 SE 12TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141323",
"telephone_number": "971-359-0012",
"fax_number": "971-484-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 SE 12TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141323",
"telephone_number": "971-359-0012",
"fax_number": "971-484-1992"
}
],
"practiceLocations": [
{
"address_1": "1330 SE Cesar E Chavez Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972144322",
"country_code": "US",
"telephone_number": "503-232-1100",
"fax_number": "503-232-7751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBNER",
"first_name": "SAMI",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC, ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-23",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "5133",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6224",
"primary": false
}
],
"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 Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.