Chad Muncrief, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4170 Issued in OR

Practice address

2232 NW Pettygrove St
Portland, OR 97210-2372

Phone

(503) 395-7736

Fax

(503) 444-9564

NPI assigned

Sep 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Halcyon Medical LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1477038941
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1710461900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14772",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972930772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 NW PETTYGROVE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102372",
            "telephone_number": "503-395-7736",
            "fax_number": "503-444-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCRIEF",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Paul Mumford
• Teddy Matthew Mumu, MD
• Janice M Muna
• Kinzie Munar, DPT
• Myrna Y. Munar, PHARM.D.
• Tony D Munden, CADC2
• Susan Lynn Mundigel, CADCI
• Chandra Mundon, PSY.D.
• Andrew John Mundt-Fettkether
• Lisa Ann Mungenast, CRM, PSS, THW

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.