NPIMap

Organization Active NPI

Twin Pines Wellness LLC

  • Health Maintenance Organization
  • Portland, OR
National Provider Identifier
1821575481
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
19839 Issued in OR
Legal business name
TWIN PINES WELLNESS LLC
Practice address
3808 N Williams Ave Ste F
Portland, OR 97227-1468
Phone
(503) 902-4797
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Melissa Kieffer, LMTNPI 1750687182
Title
Owner
Phone
(503) 902-4797

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 Maintenance Organization 302R00000X 19839 OR Primary

Addresses

Primary practice location

3808 N Williams Ave Ste F
Portland, OR 97227-1468

Mailing address

3808 N Williams Ave Ste F
Portland, OR 97227-1468
Phone (503) 902-4797

Other names 1

  • Twin Pines Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

3808 N Williams Ave
Ste F
Portland, OR 97227
Phone (503) 680-0835

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": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1821575481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE STE F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271468",
            "telephone_number": "503-902-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE STE F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271468",
            "telephone_number": "503-902-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PINES WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "KIEFFER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-902-4797",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "19839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Pines Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2018; 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.