Organization Active NPI

Excel Naturopathic Wellness PLLC

  • Primary Care Clinic/Center
  • Vancouver, WA
National Provider Identifier
1699284935
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
604-160-120 Issued in WA
Legal business name
EXCEL NATUROPATHIC WELLNESS PLLC
Practice address
15640 NE Fourth Plain Blvd Ste 120a
Vancouver, WA 98682
Phone
(360) 719-2603
Fax
(360) 397-0447
NPI assigned
Sep 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Julia Melinda Zamora, NDNPI 1285095000
Title
Owner
Phone
(360) 719-2603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 604-160-120 WA Primary

Addresses

Primary practice location

15640 NE Fourth Plain Blvd Ste 120a
Vancouver, WA 98682

Mailing address

15640 NE Fourth Plain Blvd Ste 120a
Vancouver, WA 98682-5141
Phone (360) 719-2603

Other identifiers 1

IdentifierTypeStateIssuer
604160120OtherWASEC OF STATE

National Provider Directory

National Provider Directory

Locations

15640 NE Fourth Plain Blvd
Ste 120A
Vancouver, WA 98682
Phone (360) 719-2603

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": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1699284935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 NE FOURTH PLAIN BLVD STE 120A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825141",
            "telephone_number": "360-719-2603",
            "fax_number": "360-397-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 NE FOURTH PLAIN BLVD STE 120A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98682",
            "telephone_number": "360-719-2603",
            "fax_number": "360-397-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL NATUROPATHIC WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-719-2603",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "604-160-120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEC OF STATE",
            "identifier": "604160120",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.