Active NPI
Natural Health Source Clinic
- Primary Care Clinic/Center
- Tualatin, OR
National Provider Identifier
1699132829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 1634
- Legal business name
- NATURAL HEALTH SOURCE CLINIC
- Practice address
- 19300 SW Boones Ferry Rd
Suite 2C
Tualatin, OR 97062-9086 - Phone
- (503) 855-3475
- Fax
- (503) 855-3948
- NPI assigned
- Jan 19, 2016
- 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
- Dr. Meredith H Hudson, ND
- Title
- Naturopathic Doctor
- Phone
- (503) 855-3475
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 1634 | OR | |
| Primary Care Clinic/Center | 261QP2300X | 1634 | OR | Primary |
Addresses
Primary practice location
19300 SW Boones Ferry Rd
Suite 2C
Tualatin, OR 97062-9086
Mailing address
19300 SW Boones Ferry Rd
Suite 2C
Tualatin, OR 97062-9086
Phone (503) 855-3475
National Provider Directory
National Provider DirectoryLocations
19300 SW Boones Ferry Rd
Ste 2C
Tualatin, OR 97062
Phone (503) 855-3475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453161600000",
"number": "1699132829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19300 SW BOONES FERRY RD",
"address_2": "SUITE 2C",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629086",
"telephone_number": "503-855-3475",
"fax_number": "503-855-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19300 SW BOONES FERRY RD",
"address_2": "SUITE 2C",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629086",
"telephone_number": "503-855-3475",
"fax_number": "503-855-3948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURAL HEALTH SOURCE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "MEREDITH",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "NATUROPATHIC DOCTOR",
"authorized_official_telephone_number": "503-855-3475",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "OR",
"license": "1634",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OR",
"license": "1634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.