Individual provider Active NPI

Jordan Bethany McLendon, ND

  • Naturopath
  • Gresham, OR
National Provider Identifier
1851937965
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4276 Issued in OR
Practice address
4253 SE 182ND Ave
Gresham, OR 97030-5083
Phone
(503) 661-5090
Fax
(503) 489-2320
NPI assigned
Nov 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4276 OR Primary

Addresses

Primary practice location

4253 SE 182ND Ave
Gresham, OR 97030-5083

Mailing address

4253 SE 182ND Ave
Gresham, OR 97030-5083
Phone (503) 661-5090

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL charmhealth.com

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

LicenseStateTypeSpecialty
4276ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitaker Wellness LLC CurrentSince Dec 8, 2024 Accepting new patients
Northwest Integrative Medicine, PC Naturopath PastSince Dec 1, 2019 Accepting new patients

Locations

4253 SE 182nd Ave
Gresham, OR 97030
Phone (503) 661-5090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26270/brand/1/csg/1/fhir/r4

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": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1851937965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 SE 182ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305083",
            "telephone_number": "503-661-5090",
            "fax_number": "503-489-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 SE 182ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305083",
            "telephone_number": "503-661-5090",
            "fax_number": "503-489-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLENDON",
        "first_name": "JORDAN",
        "middle_name": "BETHANY",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "charmhealth.com",
            "affiliation": "N",
            "address_1": "19365 SW 65th Ave Ste 209",
            "city": "Tualatin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970629196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.