NPIMap

Individual provider Active NPI

Samuel Oltman, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1811368384
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
3009 Issued in OR
Practice address
6420 S Macadam Ave Ste 208
Portland, OR 97239-3518
Phone
(503) 841-5292
Fax
(971) 358-8095
NPI assigned
Oct 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 3009 OR Primary

Addresses

Primary practice location

6420 S Macadam Ave Ste 208
Portland, OR 97239-3518

Mailing address

6420 S Macadam Ave Ste 208
Portland, OR 97239-3518
Phone (503) 841-5292

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Regenerative Medicine CurrentSince May 28, 2023 Accepting new patients
Sr Clinic PastSince Sep 8, 2024 Accepting new patients
Grain Integrative Health, LLC Naturopath Past Accepting new patients

Locations

6420 S Macadam Ave
Ste 208
Portland, OR 97239
Phone (503) 841-5292

Organizations & group practices 3

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1811368384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 S MACADAM AVE STE 208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393518",
            "telephone_number": "503-841-5292",
            "fax_number": "971-358-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 S MACADAM AVE STE 208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393518",
            "telephone_number": "503-841-5292",
            "fax_number": "971-358-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMAN",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-09",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3009",
            "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 May 25, 2023; 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.