Organization Active NPI

Everybody Wellness, LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1801452818
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EVERYBODY WELLNESS, LLC
Practice address
2143 NE Broadway St Ste 9
Portland, OR 97232-1512
Phone
(503) 825-0075
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Raquel Marie Rose, RDN, LDNPI 1386097541
Title
Registered Dietitian Nutritionist
Phone
(503) 825-0075

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 Primary

Addresses

Primary practice location

2143 NE Broadway St Ste 9
Portland, OR 97232-1512

Mailing address

1331 Lafayette Ave
Oregon City, OR 97045-3814
Phone (503) 616-0281

National Provider Directory

National Provider Directory

Locations

2029 SE Jefferson St
Ste 103
Milwaukie, OR 97222
Phone (503) 825-0075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1801452818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 LAFAYETTE AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453814",
            "telephone_number": "503-616-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 NE BROADWAY ST STE 9",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321512",
            "telephone_number": "503-825-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERYBODY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "503-825-0075",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "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 Dec 9, 2019; 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.