Organization Active NPI

National University of Natural Medicine

Doing business as NUNM Health Centers

  • Student in an Organized Health Care Education/Training Program
  • Portland, OR
National Provider Identifier
1730301250
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
NATIONAL UNIVERSITY OF NATURAL MEDICINE
Doing business as
NUNM Health Centers
Practice address
3025 SW Corbett Ave
Portland, OR 97201-4858
Phone
(503) 552-1966
Fax
(503) 226-8133
NPI assigned
May 3, 2007
Last updated
Sep 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Regina Ida Dehen, NC, LAC
Title
Cmo and Dean of Clinics
Phone
(503) 552-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OR Primary

Addresses

Primary practice location

3025 SW Corbett Ave
Portland, OR 97201-4858

Mailing address

049 SW Porter St
Portland, OR 97201-4848
Phone (503) 552-1551

Other identifiers 2

IdentifierTypeStateIssuer
025087000OtherORBLUE CROSS BLUE SHIELD #
137646MedicaidOR

Other names 1

  • NUNM Health Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National University of Natural Medicine7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11975 SW 2nd St
Beaverton, OR 97005

049 SW Porter St
Portland, OR 97201
Phone (503) 552-1551

3025 S Corbett Ave
Portland, OR 97201
Phone (503) 552-1551

49 S Porter St
Portland, OR 97201
Phone (503) 552-1551

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1730301250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "049 SW PORTER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014848",
            "telephone_number": "503-552-1551",
            "fax_number": "503-295-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SW CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014858",
            "telephone_number": "503-552-1966",
            "fax_number": "503-226-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL UNIVERSITY OF NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "DEHEN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "IDA",
        "authorized_official_title_or_position": "CMO AND DEAN OF CLINICS",
        "authorized_official_telephone_number": "503-552-1551",
        "authorized_official_credential": "NC, LAC"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "025087000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137646",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NUNM Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 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.