Individual provider Active NPI

Katyna Krysten Truval, ND, MPH

  • Naturopath
  • Lake Oswego, OR
National Provider Identifier
1679124572
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
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

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4278OtherORMEDICAL LICENSE
500778784MedicaidOR

Other names 1

  • Katyna-Krysten Omidfar-Tran Former name

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

OrganizationSpecialtyStatusNew 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

  • FHIR API: https://api.platform.athenahealth.com/21316/brand/4/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.