Revitalize Health & Wellness LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

REVITALIZE HEALTH & WELLNESS LLC

Practice address

29702 SW Town Center Loop W Suite C
Wilsonville, OR 97070-6481

Phone

(503) 583-8128

Fax

(503) 832-0366

NPI assigned

May 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kristie F Ritchey, NDNPI 1659616076

Title

Owner

Phone

(503) 583-8128

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristie F Ritchey, N.D.

  • Naturopath
  • Wilsonville, OR
  • NPI 1659616076
  NPD Authorized official
• Spencer Folkman, LMT

  • Massage Therapist
  • Wilsonville, OR
  • NPI 1194411280
  NPD

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1679139778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29702 SW TOWN CENTER LOOP W SUITE C",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706481",
            "telephone_number": "503-583-8128",
            "fax_number": "503-832-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29702 SW TOWN CENTER LOOP W SUITE C",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706481",
            "telephone_number": "503-583-8128",
            "fax_number": "503-832-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "RITCHEY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-583-8128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500734840",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Rees-Gross, PT
• Ryan L Reese, D.M.D
• Kendra Hannah Reid, MOT/R
• Rebecca Lauren Reinhardt, OTR/L
• Joseph William Restic, D.M.D.
• Revitalize Wellness Group Corp
• Lacei Reynolds
• Sarah S Reynolds, OTR/L
• Rha Ventures LLC (Lenza Eye Center)
• Tiffany Lynn Rhein

• Naturopath in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.