Individual provider Active NPI

Serron Wilkie, ND

  • Naturopath
  • Portland, OR
National Provider Identifier
1851625560
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1718 Issued in OR
Practice address
7886 SE 13TH Ave
Portland, OR 97202-6300
Phone
(503) 956-9396
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 154304 OR
Naturopath 175F00000X 1718 OR Primary

Addresses

Primary practice location

7886 SE 13TH Ave
Portland, OR 97202-6300

Mailing address

7886 SE 13TH Ave
Portland, OR 97202-6300
Phone (503) 956-9396

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1718ORMDPsychologist
154304ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Spring Health LLC Acupuncturist CurrentSince Jun 12, 2009 Accepting new patients
The Rewilding Practice LLC Acupuncturist CurrentSince Aug 25, 2025 Accepting new patients

Locations

7886 SE 13th Ave
Portland, OR 97202
Phone (503) 415-0089

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1851625560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7886 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026300",
            "telephone_number": "503-956-9396",
            "fax_number": "503-206-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7886 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026300",
            "telephone_number": "503-956-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKIE",
        "first_name": "SERRON",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "154304",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1718",
            "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 Nov 7, 2024; 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.