Organization Active NPI

Seeds of Health, PC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1922364694
Registry record updated Apr 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01133 Issued in OR
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

Updated by the provider on Apr 7, 2012

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.