Active NPI
NW Medical Weight Management LLC
- Medical Specialty Clinic/Center
- Keizer, OR
National Provider Identifier
1831802776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- NW MEDICAL WEIGHT MANAGEMENT LLC
- Practice address
- 3675 River Rd N Ste 103
Keizer, OR 97303-5994 - Phone
- (503) 510-0630
- NPI assigned
- Jan 5, 2023
- 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
- Amy Purkey, FNP
- Title
- Owner/Provider
- Phone
- (503) 510-0630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
3675 River Rd N Ste 103
Keizer, OR 97303-5994
Mailing address
535 Castle Glen LN N
Keizer, OR 97303-7497
Phone (503) 510-0630
Other names 1
- NW Medical Weight Management LLC
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.
-
- Nurse Practitioner
- Salem, OR
- NPI 1952885659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1831802776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 CASTLE GLEN LN N",
"city": "KEIZER",
"state": "OR",
"postal_code": "973037497",
"telephone_number": "503-510-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 RIVER RD N STE 103",
"city": "KEIZER",
"state": "OR",
"postal_code": "973035994",
"telephone_number": "503-510-0630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NW MEDICAL WEIGHT MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2023-01-05",
"certification_date": "2023-01-04",
"status": "A",
"authorized_official_last_name": "PURKEY",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "503-510-0630",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NW Medical Weight Management LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.