NPIMap

Organization Active NPI

Office of Integrative Medicine, Inc.

  • Family Medicine Physician
  • Saint Helens, OR
National Provider Identifier
1689745341
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OFFICE OF INTEGRATIVE MEDICINE, INC.
Practice address
525 N Columbia River Hwy
Saint Helens, OR 97051-1226
Phone
(503) 366-6244
Fax
(503) 366-6246
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Janet R Kelly, MD
Title
Owner
Phone
(503) 366-6244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

525 N Columbia River Hwy
Saint Helens, OR 97051-1226

Mailing address

PO Box 976
Saint Helens, OR 97051-0976
Phone (503) 366-6244

Other identifiers 2

IdentifierTypeStateIssuer
125757MedicaidOR
865437000OtherORBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1689745341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 976",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970510976",
            "telephone_number": "503-366-6244",
            "fax_number": "503-366-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N COLUMBIA RIVER HWY",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511226",
            "telephone_number": "503-366-6244",
            "fax_number": "503-366-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF INTEGRATIVE MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-366-6244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125757",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "865437000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.