Active NPI
Naturomedicine Center, Inc.
- Naturopath
- Tigard, OR
National Provider Identifier
1689946873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 55539
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 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 DirectoryLocations
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.
-
- Specialist
- Tigard, OR
- NPI 1386873214
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.