Active NPI
Julia Mortlock, ND, LAC
- Naturopath
- Vancouver, WA
National Provider Identifier
1639508831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60416820
- Practice address
- 16904 SE 1St St
Vancouver, WA 98684-8511 - Phone
- (541) 979-6467
- NPI assigned
- Nov 7, 2013
- Last updated
- Sep 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC60416884 | WA | |
| Acupuncturist | 171100000X | AC164766 | OR | |
| Naturopath | 175F00000X | NT60416820 | WA | Primary |
| Naturopath | 175F00000X | 2012 | OR |
Addresses
Primary practice location
16904 SE 1St St
Vancouver, WA 98684-8511
Mailing address
7121 SW 29TH Ave
Portland, OR 97219-1907
Phone (541) 979-6467
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC164766 | OR | MD | Acupuncturist |
| AC60416884 | WA | MD | Acupuncturist |
| 2012 | OR | MD | Naturopath |
| NT60416820 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Julia Mortlock LLC | Acupuncturist | Past | Accepting new patients |
| Northwest Health Specialties | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443225600000",
"number": "1639508831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7121 SW 29TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191907",
"telephone_number": "541-979-6467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16904 SE 1ST ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986848511",
"telephone_number": "541-979-6467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTLOCK",
"first_name": "JULIA",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2015-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60416884",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC164766",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60416820",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "2012",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.