Northwest Regenerative Orthopedics

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

NORTHWEST REGENERATIVE ORTHOPEDICS

Practice address

16250 SW Upper Boones Ferry Rd Ste 195
Portland, OR 97224-7220

Phone

(503) 799-6115

Fax

(833) 606-1224

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Elizabeth S Mitcham

Title

Ceo

Phone

(503) 737-7302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1689459125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 SW UPPER BOONES FERRY RD STE 195",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247220",
            "telephone_number": "503-799-6115",
            "fax_number": "833-606-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 SW UPPER BOONES FERRY RD STE 195",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247220",
            "telephone_number": "503-799-6115",
            "fax_number": "833-606-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST REGENERATIVE ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "MITCHAM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-737-7302"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.