Active NPI
Katyna Krysten Truval, ND, MPH
- Naturopath
- Lake Oswego, OR
National Provider Identifier
1679124572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Practice address
- 15962 Boones Ferry Rd Ste 209
Lake Oswego, OR 97035-4360 - Phone
- (971) 979-0907
- NPI assigned
- Sep 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | OR | Primary |
Addresses
Primary practice location
15962 Boones Ferry Rd Ste 209
Lake Oswego, OR 97035-4360
Mailing address
1148 SW 57TH Ave Unit a
Portland, OR 97221-2546
Phone (702) 696-8701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4278 | Other | OR | MEDICAL LICENSE |
| 500778784 | Medicaid | OR |
Other names 1
- Katyna-Krysten Omidfar-Tran
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Systems Healthcare Lake Oswego Clinic | Naturopath | Current | Accepting new patients |
| Citrine Holistic Health, LLC | Naturopath | Current | Accepting new patients |
Locations
15962 Boones Ferry Rd
Ste 209
Lake Oswego, OR 97035
Phone (503) 639-6751
Interoperability endpoints
- https://api.platform.athenahealth.com/21316/brand/4/csg/1/fhir/r4
- katyna.tran@219708613853188.direct.elationemr.com
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.
-
- Naturopath
- Lake Oswego, OR
- NPI 1205511664
-
- Naturopath
- Lake Oswego, OR
- NPI 1588325948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1679124572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 SW 57TH AVE UNIT A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212546",
"telephone_number": "702-696-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15962 BOONES FERRY RD STE 209",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970354360",
"telephone_number": "971-979-0907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUVAL",
"first_name": "KATYNA",
"middle_name": "KRYSTEN",
"credential": "ND, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "4278",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500778784",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATYNA-KRYSTEN",
"last_name": "OMIDFAR-TRAN",
"credential": "ND, MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.