JXXN Renee Montenegro, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4479 Issued in OR

Practice address

819 SE Morrison St Ste 235
Portland, OR 97214-6312

Phone

(503) 757-6686

Fax

(503) 908-6742

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Renee Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wild Heart Natural Medicine LLC

  • Naturopath
  • Portland, OR
  • NPI 1821706862
  NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1922724004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17397 SW CARSON CT",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970781380",
            "telephone_number": "503-757-6686",
            "fax_number": "928-316-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 235",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146312",
            "telephone_number": "503-757-6686",
            "fax_number": "503-908-6742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17397 SW Carson Ct",
            "address_purpose": "LOCATION",
            "city": "Aloha",
            "state": "OR",
            "postal_code": "970781380",
            "country_code": "US",
            "telephone_number": "503-757-6686",
            "fax_number": "928-316-6316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972211176",
            "country_code": "US",
            "telephone_number": "503-757-6686",
            "fax_number": "928-316-6316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "JXXN",
        "middle_name": "RENEE",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "JACKSON",
            "middle_name": "RENEE",
            "credential": "ND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marissa Ann Montejano, SLP
• Candyce Monteleone
• Antoinette Vinco Montelibano, MD
• Gina C. Montenaro
• Diane Montenegro
• Malina Renee Montenegro, ND
• Maria Andrea Montera, LMT, RMTI
• Adriana Carolina Montero, DOULA
• Melissa Montero
• Jenny Monterroza

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.