Healing Resources NW, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HEALING RESOURCES NW, LLC

Practice address

7914 SE Main St
Portland, OR 97215-3031

Phone

(503) 888-0390

Fax

(888) 898-0933

NPI assigned

Aug 16, 2011

Last updated

Jan 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Ann Nametka, DNP, CWS, CWON, FNP-NPI 1104835297

Title

Owner

Phone

(971) 895-0060

Specialties & licenses 2

Addresses

Locations

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.

• Mary Ann Nametka, DNP,MSN,CWON,FNP-BC

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1104835297
  Authorized official Same address or phone

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706400000000",
    "number": "1639458011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153031",
            "telephone_number": "503-888-0390",
            "fax_number": "888-898-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153031",
            "telephone_number": "503-888-0390",
            "fax_number": "888-898-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING RESOURCES NW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "NAMETKA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-895-0060",
        "authorized_official_credential": "DNP, CWS, CWON, FNP-"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Healing Tails Collective
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• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; 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.