Active NPI
Seeds of Health, PC
- Acupuncturist
- Portland, OR
National Provider Identifier
1922364694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01133
- Legal business name
- SEEDS OF HEALTH, PC
- Practice address
- 5525 E Burnside St
Portland, OR 97215-1258 - Phone
- (503) 333-3722
- Fax
- (503) 233-4449
- NPI assigned
- Apr 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Marie Wilmoth, L.AC.
- Title
- Acupuncturist
- Phone
- (503) 333-3722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01133 | OR | Primary |
Addresses
Primary practice location
5525 E Burnside St
Portland, OR 97215-1258
Mailing address
5525 E Burnside St
Portland, OR 97215-1258
Phone (503) 333-3722
Other names 1
- Seeds of Health, LLC
National Provider Directory
National Provider DirectoryLocations
5525 E Burnside St
Portland, OR 97215
Phone (503) 236-0855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333756800000",
"number": "1922364694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151258",
"telephone_number": "503-333-3722",
"fax_number": "503-233-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151258",
"telephone_number": "503-333-3722",
"fax_number": "503-233-4449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEEDS OF HEALTH, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-07",
"last_updated": "2012-04-07",
"status": "A",
"authorized_official_last_name": "WILMOTH",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ACUPUNCTURIST",
"authorized_official_telephone_number": "503-333-3722",
"authorized_official_credential": "L.AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Seeds of Health, LLC",
"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 Apr 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.