Organization Active NPI

Natural Health Source Clinic

  • Primary Care Clinic/Center
  • Tualatin, OR
National Provider Identifier
1699132829
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1634 Issued in OR
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

Updated by the provider on Jan 19, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.