NPIMap

Organization Active NPI

Yew Medicine LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1790006427
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0896 Issued in OR
Legal business name
YEW MEDICINE LLC
Practice address
4039 N Mississippi Ave # 305
Portland, OR 97227-1164
Phone
(503) 929-1910
NPI assigned
Jun 16, 2010
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Louise Tolzmann, NDNPI 1154463248
Title
Owner
Phone
(503) 929-1910

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
Health Service Clinic/Center 261QH0100X 0896 OR Primary

Addresses

Primary practice location

4039 N Mississippi Ave # 305
Portland, OR 97227-1164

Mailing address

4039 N Mississippi Ave # 305
Portland, OR 97227-1164
Phone (503) 929-1910

National Provider Directory

National Provider Directory

Locations

4039 N Mississippi Ave
Ste 305
Portland, OR 97227
Phone (503) 929-1910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1790006427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE # 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271164",
            "telephone_number": "503-929-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE # 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271164",
            "telephone_number": "503-929-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEW MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "TOLZMANN",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-929-1910",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "0896",
            "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 Jun 16, 2010; 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.