Organization Active NPI

Naturomedicine Center, Inc.

  • Naturopath
  • Tigard, OR
National Provider Identifier
1689946873
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
55539 Issued in OR
Legal business name
NATUROMEDICINE CENTER, INC.
Practice address
11515 SW Durham Rd Ste E9
Tigard, OR 97224-3476
Phone
(503) 748-2552
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Derrick Kim, ND
Title
President
Phone
(503) 748-2552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 55539 OR Primary

Addresses

Primary practice location

11515 SW Durham Rd Ste E9
Tigard, OR 97224-3476

Mailing address

11515 SW Durham Rd Ste E9
Tigard, OR 97224-3476
Phone (503) 748-2552

National Provider Directory

National Provider Directory

Locations

11515 SW Durham Rd
Ste E9
Tigard, OR 97224
Phone (503) 748-2552

Practitioners & affiliated clinicians

Practitioners 1

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": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1689946873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 SW DURHAM RD STE E9",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243476",
            "telephone_number": "503-748-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 SW DURHAM RD STE E9",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243476",
            "telephone_number": "503-748-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATUROMEDICINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-748-2552",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "55539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.