Active NPI
Jonathan Shaffer
- Naturopath
- Portland, OR
National Provider Identifier
1831533975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 5005
- Practice address
- 5440 SW Westgate Dr Ste 320
Portland, OR 97221-2447 - Phone
- (503) 847-9211
- NPI assigned
- Apr 19, 2013
- Last updated
- Apr 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Naturopath | 175F00000X | 5005 | OR | Primary |
Addresses
Primary practice location
5440 SW Westgate Dr Ste 320
Portland, OR 97221-2447
Mailing address
7414 SE 70TH Ave
Portland, OR 97206-7930
Phone (614) 256-5172
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrain Wellness LLC | Naturopath | Current | Accepting new patients |
| No Child Left Behind | Past | Accepting new patients | |
| David Palacios Inc | Naturopath | Past | Accepting new patients |
| No Child Left Behind | Past | Accepting new patients |
Locations
5440 SW Westgate Dr
Ste 320
Portland, OR 97221
Phone (503) 451-5013
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1831533975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7414 SE 70TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972067930",
"telephone_number": "614-256-5172",
"fax_number": "775-331-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 SW WESTGATE DR STE 320",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212447",
"telephone_number": "503-847-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-19",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "5005",
"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 Apr 19, 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.