Individual provider Active NPI

Cindy Mai, ND, LAC

  • Naturopath
  • Woodburn, OR
National Provider Identifier
1902404833
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4332 Issued in OR
Practice address
559 Ray J Glatt Cir #1
Woodburn, OR 97071-2622
Phone
(503) 981-4591
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X
Naturopath 175F00000X 4332 OR Primary

Addresses

Primary practice location

559 Ray J Glatt Cir #1
Woodburn, OR 97071-2622

Mailing address

2122 NW Quimby St
Portland, OR 97210-2622
Phone (503) 292-7668

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cindymaind@gmail.com Direct

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
4332ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Root Whole Body Health, Inc Naturopath CurrentSince Oct 16, 2022 Accepting new patients
Root Whole Body Health, Inc Acupuncturist CurrentSince Oct 16, 2022 Accepting new patients

Locations

2122 NW Quimby St
Portland, OR 97210
Phone (503) 288-7668

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1902404833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 NW QUIMBY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102622",
            "telephone_number": "503-292-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 RAY J GLATT CIR #1",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712622",
            "telephone_number": "503-981-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "CINDY",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cindymaind@gmail.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1319 SE Linn St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972027146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.