NPIMap

Organization Active NPI

Creative Thriving, LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1902517857
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CREATIVE THRIVING, LLC
Practice address
1327 SE Tacoma St # 105
Portland, OR 97202-6639
Phone
(971) 200-5226
Fax
(866) 480-3345
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Tasha Nicole Searles, CNSNPI 1053779801
Title
Owner
Phone
(765) 894-1684

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1327 SE Tacoma St # 105
Portland, OR 97202-6639

Mailing address

1327 SE Tacoma St # 105
Portland, OR 97202-6639
Phone (971) 200-5226

National Provider Directory

National Provider Directory

Locations

1327 SE Tacoma St
Portland, OR 97202
Phone (971) 200-5226

Practitioners & affiliated clinicians

Practitioners 1

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": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1902517857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 SE TACOMA ST # 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026639",
            "telephone_number": "971-200-5226",
            "fax_number": "866-480-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 SE TACOMA ST # 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026639",
            "telephone_number": "971-200-5226",
            "fax_number": "866-480-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THRIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "SEARLES",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-894-1684",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "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 Jun 12, 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.

Verify at the official NPI Registry.