NPIMap

Organization Active NPI

Portland Dental and Naturopathic Clinic

  • Dentist
  • Portland, OR
National Provider Identifier
1760805022
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6840 Issued in OR
Legal business name
PORTLAND DENTAL AND NATUROPATHIC CLINIC
Practice address
9045 SW Barbur Blvd Ste 122
Portland, OR 97219-4028
Phone
(503) 244-2432
Fax
(503) 244-7325
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Dr. Rohina Azizi, DMD, NDNPI 1427261056
Title
President/Owner
Phone
(503) 244-2432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D6840 OR Primary

Addresses

Primary practice location

9045 SW Barbur Blvd Ste 122
Portland, OR 97219-4028

Mailing address

9045 SW Barbur Blvd Ste 122
Portland, OR 97219-4028
Phone (503) 244-2432

National Provider Directory

National Provider Directory

Locations

9045 SW Barbur Blvd
Ste 122
Portland, OR 97219
Phone (503) 244-2432

Practitioners & affiliated clinicians

Practitioners 1

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": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1760805022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 SW BARBUR BLVD STE 122",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194028",
            "telephone_number": "503-244-2432",
            "fax_number": "503-244-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 SW BARBUR BLVD STE 122",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194028",
            "telephone_number": "503-244-2432",
            "fax_number": "503-244-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND DENTAL AND NATUROPATHIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "ROHINA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "503-244-2432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, ND"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6840",
            "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 Aug 25, 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.