NPIMap

Organization Active NPI

Kwan Yin Naturopathy West, Inc

  • Naturopath
  • Portland, OR
National Provider Identifier
1922405166
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000585 Issued in OR
Legal business name
KWAN YIN NATUROPATHY WEST, INC
Practice address
2330 NW Flanders St Ste 101
Portland, OR 97210-3400
Phone
(503) 701-8766
Fax
(503) 241-5484
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
David Berkshire, L.AC.
Title
Co-Owner
Phone
(503) 701-8766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 000585 OR Primary

Addresses

Primary practice location

2330 NW Flanders St Ste 101
Portland, OR 97210-3400

Mailing address

2330 NW Flanders St Ste 101
Portland, OR 97210-3400
Phone (503) 701-8766

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1922405166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103400",
            "telephone_number": "503-701-8766",
            "fax_number": "503-241-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103400",
            "telephone_number": "503-701-8766",
            "fax_number": "503-241-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWAN YIN NATUROPATHY WEST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "BERKSHIRE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-701-8766",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "000585",
            "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 Dec 3, 2014; 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.