Organization Active NPI

Soaring Health and Wellness

  • Naturopath
  • Portland, OR
National Provider Identifier
1770957474
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
SOARING HEALTH AND WELLNESS
Practice address
2215 SE Miller St
Apartment 4
Portland, OR 97202-6873
Phone
(503) 720-7418
Fax
(503) 410-7116
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Stephen Philip Levy, ND, LAC
Title
Dr.
Phone
(503) 720-7418

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

2215 SE Miller St
Apartment 4
Portland, OR 97202-6873

Mailing address

2215 SE Miller Street
Apartment 4
Portland, OR 97202
Phone (503) 720-7418

Other identifiers 2

IdentifierTypeStateIssuer
500669220MedicaidOR
500669216MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1770957474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SE MILLER STREET",
            "address_2": "APARTMENT 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-720-7418",
            "fax_number": "503-410-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SE MILLER ST",
            "address_2": "APARTMENT 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026873",
            "telephone_number": "503-720-7418",
            "fax_number": "503-410-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "503-720-7418",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500669220",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500669216",
            "state": "OR"
        }
    ],
    "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 Nov 18, 2015; 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.