Active NPI
Soaring Health and Wellness
- Naturopath
- Portland, OR
National Provider Identifier
1770957474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Naturopath | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500669220 | Medicaid | OR | |
| 500669216 | Medicaid | OR |
National Provider Directory
National Provider DirectoryNPI 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.