Active NPI
Amanda Watters, N.D.
- Naturopath
- Oregon City, OR
National Provider Identifier
1679943773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 3022
- Practice address
- 610 High St
Oregon City, OR 97045 - Phone
- (503) 372-5147
- Fax
- (503) 650-4302
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 23-QMHP-R-1806 | OR | |
| Naturopath | 175F00000X | 3022 | OR | Primary |
Addresses
Primary practice location
610 High St
Oregon City, OR 97045
Mailing address
113 N Elm St
Canby, OR 97013-3519
Phone (503) 263-8903
Other practice location 1
113 N Elm St
Canby, OR 97013-3519
Phone (503) 263-8903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-QMHP-R-1806 | Other | OR | MHACBO |
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 |
|---|---|---|---|
| 23-QMHP-R-1806 | OR | MD | Mental Health Counselor |
| 3022 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1679943773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 N ELM ST",
"city": "CANBY",
"state": "OR",
"postal_code": "970133519",
"telephone_number": "503-263-8903",
"fax_number": "503-266-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 HIGH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-372-5147",
"fax_number": "503-650-4302"
}
],
"practiceLocations": [
{
"address_1": "113 N Elm St",
"address_purpose": "LOCATION",
"city": "Canby",
"state": "OR",
"postal_code": "970133519",
"country_code": "US",
"telephone_number": "503-263-8903",
"fax_number": "503-266-8632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTERS",
"first_name": "AMANDA",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "23-QMHP-R-1806",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "3022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHACBO",
"identifier": "23-QMHP-R-1806",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.