Individual provider Active NPI

Marnie Loomis, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1760529564
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1100 Issued in OR
Practice address
111 SW Columbia St Ste 100
Portland, OR 97201-5848
Phone
(503) 222-0551
Fax
(503) 224-9619
NPI assigned
Jan 31, 2007
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1100 OR Primary

Addresses

Primary practice location

111 SW Columbia St Ste 100
Portland, OR 97201-5848

Mailing address

5225 Jean Rd Apt 604
Lake Oswego, OR 97035-7140
Phone (503) 544-7044

Other practice location 1

4900 SE Division St
Portland, OR 97206-1544
Phone (503) 445-9771

Other identifiers 1

IdentifierTypeStateIssuer
12646084OtherCAQH

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

LicenseStateTypeSpecialty
1100ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Wellness Group LLC Naturopath Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1760529564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 JEAN RD APT 604",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357140",
            "telephone_number": "503-544-7044",
            "fax_number": "503-445-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW COLUMBIA ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015848",
            "telephone_number": "503-222-0551",
            "fax_number": "503-224-9619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972061544",
            "country_code": "US",
            "telephone_number": "503-445-9771",
            "fax_number": "503-445-9772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "MARNIE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12646084",
            "state": null
        }
    ],
    "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 Sep 4, 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.