Individual provider Active NPI

Laura Wollman, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1780006593
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
2015 Issued in OR
Practice address
2526 NE 15TH Ave
Portland, OR 97212-4222
Phone
(503) 288-7668
Fax
(503) 288-8972
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 2015 OR Primary

Addresses

Primary practice location

2526 NE 15TH Ave
Portland, OR 97212-4222

Mailing address

2526 NE 15TH Ave
Portland, OR 97212-4222
Phone (503) 288-7668

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
2015ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Root Whole Body Health, Inc Naturopath Past Accepting new patients
Root Whole Body Health, Inc Naturopath Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1780006593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 NE 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124222",
            "telephone_number": "503-288-7668",
            "fax_number": "503-288-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 NE 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124222",
            "telephone_number": "503-288-7668",
            "fax_number": "503-288-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLMAN",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2015",
            "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 Oct 19, 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.