Organization Active NPI

Foundations for Health, LLC

  • Clinic/Center
  • Tigard, OR
National Provider Identifier
1770194763
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FOUNDATIONS FOR HEALTH, LLC
Doing business as
Dr. Wendy Rogers
Practice address
12570 SW 69TH Ave Ste 101
Tigard, OR 97223-2552
Phone
(503) 673-1630
Fax
(503) 673-8051
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Dr. Gwendolyn Anne Rogers, ND, LACNPI 1134395221
Title
Owner
Phone
(503) 975-3256

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

12570 SW 69TH Ave Ste 101
Tigard, OR 97223-2552

Mailing address

PO Box 1716
Lake Oswego, OR 97035-0576
Phone (503) 673-1630

Other names 1

  • Dr. Wendy Rogers Doing business as

National Provider Directory

National Provider Directory

Locations

12570 SW 69th Ave
Ste 101
Tigard, OR 97223
Phone (503) 673-1630

8555 SW Tualatin Rd
Ste B
Tualatin, OR 97062
Phone (503) 691-0901

Practitioners & affiliated clinicians

Practitioners 2

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": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1770194763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1716",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350576",
            "telephone_number": "503-673-1630",
            "fax_number": "503-673-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12570 SW 69TH AVE STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232552",
            "telephone_number": "503-673-1630",
            "fax_number": "503-673-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-975-3256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Wendy Rogers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Wendy Rogers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.