Active NPI
Pamela Sky Jeanne, ND
- Naturopath
- Portland, OR
National Provider Identifier
1700114345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0745
- Practice address
- 2137 N Saratoga St
Portland, OR 97217-5360 - Phone
- (503) 720-8999
- Fax
- (503) 200-1334
- NPI assigned
- Nov 19, 2009
- Last updated
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 0745 | OR | Primary |
Addresses
Primary practice location
2137 N Saratoga St
Portland, OR 97217-5360
Mailing address
2137 N Saratoga St
Portland
Portland, OR 97217-5360
Phone (503) 720-8999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0745 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1700114345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 N SARATOGA ST",
"address_2": "PORTLAND",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972175360",
"telephone_number": "503-720-8999",
"fax_number": "503-200-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2137 N SARATOGA ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972175360",
"telephone_number": "503-720-8999",
"fax_number": "503-200-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANNE",
"first_name": "PAMELA",
"middle_name": "SKY",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "0745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.