Active NPI
Nourish Natural Family Medicine
- Naturopath
- Nehalem, OR
National Provider Identifier
1811312945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 2005
- Legal business name
- NOURISH NATURAL FAMILY MEDICINE
- Practice address
- 35890 Highway 101 N
Nehalem, OR 97131-9599 - Phone
- (503) 368-4312
- Fax
- (503) 368-4315
- NPI assigned
- Feb 26, 2014
- Last updated
- Feb 26, 2014
- 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
- Mackenzie Collins, N.D., L.AC.
- Title
- Physician, Owner
- Phone
- (503) 368-4312
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC156719 | OR | |
| Naturopath | 175F00000X | 2005 | OR | Primary |
Addresses
Primary practice location
35890 Highway 101 N
Nehalem, OR 97131-9599
Mailing address
35890 7TH St
Nehalem, OR 97131
Phone (503) 368-4312
National Provider Directory
National Provider DirectoryPractitioners & 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": "1393372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393372800000",
"number": "1811312945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35890 7TH ST",
"city": "NEHALEM",
"state": "OR",
"postal_code": "97131",
"telephone_number": "503-368-4312",
"fax_number": "503-368-4315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35890 HIGHWAY 101 N",
"city": "NEHALEM",
"state": "OR",
"postal_code": "971319599",
"telephone_number": "503-368-4312",
"fax_number": "503-368-4315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOURISH NATURAL FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-26",
"last_updated": "2014-02-26",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "MACKENZIE",
"authorized_official_title_or_position": "PHYSICIAN, OWNER",
"authorized_official_telephone_number": "503-368-4312",
"authorized_official_credential": "N.D., L.AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC156719",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Naturopath",
"state": "OR",
"license": "2005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nehalem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.