Organization Active NPI

Wisdom Way Medicine, LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1922266675
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1317 Issued in OR
Legal business name
WISDOM WAY MEDICINE, LLC
Practice address
443 NE Knott St
Portland, OR 97212-3179
Phone
(503) 282-1070
Fax
(503) 282-1990
NPI assigned
May 29, 2008
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Dr. Anne Hill, NDNPI 1073533659
Title
Owner
Phone
(503) 282-1070

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
Naturopath 175F00000X 1317 OR Primary

Addresses

Primary practice location

443 NE Knott St
Portland, OR 97212-3179

Mailing address

443 NE Knott St
Portland, OR 97212-3179
Phone (503) 282-1070

Other names 2

  • Alder Family Medicine Former legal business name
  • Rising Tide Medicine Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL KSHC Direct
CONNECT URL yup Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1922266675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123179",
            "telephone_number": "503-282-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123179",
            "telephone_number": "503-282-1070",
            "fax_number": "503-282-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM WAY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-282-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KSHC",
            "affiliation": "N",
            "endpointDescription": "there",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "443 NE Knott St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972123179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yup",
            "affiliation": "N",
            "endpointDescription": "okay",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "443 NE Knott St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972123108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alder Family Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rising Tide Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 14, 2020; 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.