Elysium Health Cooperative

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2042 Issued in OR

Legal business name

ELYSIUM HEALTH COOPERATIVE

Doing business as

Ehco

Practice address

25195 SW Parkway Ave
Wilsonville, OR 97070-9651

Phone

(503) 765-6020

Fax

(503) 741-2184

NPI assigned

Mar 20, 2015

Last updated

Mar 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie N Culver, NDNPI 1073916185

Title

President, Chief Medical Officer

Phone

(503) 765-6020

Specialties & licenses 1

Addresses

Other names 1

• EHCO Doing business as

Locations

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.

• Stephanie Culver, N.D.

  • Naturopath
  • Portland, OR
  • NPI 1073916185
  NPD (past) Authorized official

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1790179323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20625 SW 90TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626323",
            "telephone_number": "503-765-6020",
            "fax_number": "503-741-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25195 SW PARKWAY AVE",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709651",
            "telephone_number": "503-765-6020",
            "fax_number": "503-741-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIUM HEALTH COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "CULVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT, CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "503-765-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "2042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EHCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Earnest
• Raghu R Earni
• Kaitlyn Ruth Eaton
• Klara Louise Ecklund, L.M.T.
• Elisa Herrman DMD LLC (Wilsonville Orthodontics)
• Emeritus Corporation (Brookdale Wilsonville)
• Empowerme Rehabilitation, LLC
• Riley Eugene Enberg
• Armasabille Navalon Ermita, MD
• Tim David Esau, MSPT

• Primary Care Clinic/Center in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.