Active NPI
Daniel Joseph Fargo, ND
- Naturopath
- Portland, OR
National Provider Identifier
1649732041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4241
- Practice address
- 1110 SE Alder St Ste 201
Portland, OR 97214-2400 - Phone
- (503) 477-5051
- Fax
- (503) 954-2374
- NPI assigned
- Apr 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 4241 | OR | Primary |
Addresses
Primary practice location
1110 SE Alder St Ste 201
Portland, OR 97214-2400
Mailing address
906 NE 52ND Ave
Portland, OR 97213-2844
Phone (773) 420-7678
Other practice location 1
906 NE 52nd Ave
Portland, OR 97213-2844
Phone (773) 420-7678
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | health@danielfargond.com |
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 |
|---|---|---|---|
| 4241 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinic of Natural Medicine | 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.
-
- Naturopath
- Portland, OR
- NPI 1841843778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1649732041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 NE 52ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132844",
"telephone_number": "773-420-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 SE ALDER ST STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142400",
"telephone_number": "503-477-5051",
"fax_number": "503-954-2374"
}
],
"practiceLocations": [
{
"address_1": "906 NE 52nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132844",
"country_code": "US",
"telephone_number": "773-420-7678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARGO",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-03",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4241",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "health@danielfargond.com",
"affiliation": "N",
"address_1": "906 NE 52nd Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132844",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 2, 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.