NPIMap

Organization Active NPI

Sante Wellness LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1841609575
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1582 Issued in OR
Legal business name
SANTE WELLNESS LLC
Practice address
210 NW 17TH Ave
Portland, OR 97209-2151
Phone
(971) 407-3066
Fax
(971) 407-3067
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Dr. Marcea Wiggins, NDNPI 1265601017
Title
Medical Director/Owner
Phone
(971) 407-3066

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
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 1582 OR Primary

Addresses

Primary practice location

210 NW 17TH Ave
Portland, OR 97209-2151

Mailing address

210 NW 17TH Ave
Portland, OR 97209-2151
Phone (971) 407-3066

Other names 1

  • Sante Aesthetics & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

210 NW 17th Ave
Portland, OR 97209
Phone (971) 407-3066

Practitioners & affiliated clinicians

Practitioners 8

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": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1841609575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NW 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092151",
            "telephone_number": "971-407-3066",
            "fax_number": "971-407-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NW 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092151",
            "telephone_number": "971-407-3066",
            "fax_number": "971-407-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "MARCEA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "971-407-3066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sante Aesthetics & 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 Aug 6, 2014; 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.