NPIMap

Organization Active NPI

Spiritual Self Inc.

  • Clinic/Center
  • McMinnville, OR
National Provider Identifier
1730745886
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPIRITUAL SELF INC.
Practice address
1300 NW Adams St Ste C
McMinnville, OR 97128-3550
Phone
(503) 883-0099
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Angela D Self Lindsey, LMT
Title
President
Phone
(971) 241-0433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1300 NW Adams St Ste C
McMinnville, OR 97128-3550

Mailing address

1272 SW Emma Dr
McMinnville, OR 97128-7642
Phone (971) 241-0433

National Provider Directory

National Provider Directory

Locations

1300 NW Adams St
Ste C
McMinnville, OR 97128
Phone (503) 209-0541

Practitioners & affiliated clinicians

Practitioners 4

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": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1730745886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 SW EMMA DR",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971287642",
            "telephone_number": "971-241-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW ADAMS ST STE C",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283550",
            "telephone_number": "503-883-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITUAL SELF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "SELF LINDSEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-241-0433",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.