Organization Active NPI

Rosemary Medicine

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1669770996
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
NT 00001322 Issued in WA
Legal business name
ROSEMARY MEDICINE
Practice address
404 SE 80TH Ave
Portland, OR 97215-1528
Phone
(503) 335-3201
Fax
(503) 662-6212
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Kelly Boyden Owens, ND
Title
Owner
Phone
(503) 335-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NT 00001322 WA Primary

Addresses

Primary practice location

404 SE 80TH Ave
Portland, OR 97215-1528

Mailing address

404 SE 80TH Ave
Portland, OR 97215-1528
Phone (503) 335-3201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1669770996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SE 80TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151528",
            "telephone_number": "503-335-3201",
            "fax_number": "503-662-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SE 80TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151528",
            "telephone_number": "503-335-3201",
            "fax_number": "503-662-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "BOYDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-335-3201",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "NT 00001322",
            "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 Sep 19, 2019; 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.