Organization Active NPI

Shawnte Yates, ND, Lac, LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1922497395
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
2073 Issued in OR
Legal business name
SHAWNTE YATES, ND, LAC, LLC
Practice address
1110 SE Alder St Ste 201
Portland, OR 97214-2400
Phone
(503) 477-5051
Fax
(503) 954-2374
NPI assigned
Jan 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Shawnte Yates, ND, LAC
Title
Owner
Phone
(360) 448-3969

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC169326 OR
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 2073 OR Primary

Addresses

Primary practice location

1110 SE Alder St Ste 201
Portland, OR 97214-2400

Mailing address

1110 SE Alder St Ste 201
Portland, OR 97214-2400
Phone (503) 477-5051

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1922497395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SE ALDER ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142400",
            "telephone_number": "503-477-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SE ALDER ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142400",
            "telephone_number": "503-477-5051",
            "fax_number": "503-954-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNTE YATES, ND, LAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "SHAWNTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-448-3969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC169326",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2073",
            "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 Jan 22, 2015; 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.