Docere Naturopathic Medicine LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DOCERE NATUROPATHIC MEDICINE LLC

Practice address

500 NW 20TH St
Gresham, OR 97030-2441

Phone

(503) 489-5917

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mariya Sulakov, NDNPI 1447893748

Title

Member

Phone

(503) 489-5917

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Mariya Sulakov, ND

  • Naturopath
  • Gresham, OR
  • NPI 1447893748
  NPD Authorized official

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1831721489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SW 11TH ST APT 133",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807314",
            "telephone_number": "503-929-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 20TH ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302441",
            "telephone_number": "503-489-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCERE NATUROPATHIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "SULAKOV",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-489-5917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "(503)4899210",
            "affiliation": "N",
            "address_1": "500 NW 20th St",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970302441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John William Dillow, BA
• Division Family Dental LLC
• Brent Alan Dixson, DC
• Kimberly DO
• Robert Stanley Dobres, M.S.W., L.C.S.W.
• Gregory Dockery
• Ryan Dolan
• Donald a Burress MD PC
• Marissa Dotson
• Christina Doughty, PA-C

• Health Service Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.