Organization Active NPI

Naturalways Pediatrics

  • Corporate Health Clinic/Center
  • Tualatin, OR
National Provider Identifier
1932607934
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
MD25791 Issued in OR
Legal business name
NATURALWAYS PEDIATRICS
Practice address
18813 SW Martiazzi Ave
Tualatin, OR 97062
Phone
(503) 765-5265
Fax
(503) 765-5265
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Nitikul Solomon, MDNPI 1508833047
Title
President
Phone
(971) 266-1926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X MD25791 OR Primary

Addresses

Primary practice location

18813 SW Martiazzi Ave
Tualatin, OR 97062

Mailing address

5003 Foothilss Rd
Apt H
Lake Oswego, OR 97034
Phone (503) 559-4953

Other identifiers 1

IdentifierTypeStateIssuer
25923MedicaidOR

Other names 1

  • NaturalWays Pediatrics Doing business as

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": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1932607934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 FOOTHILSS RD",
            "address_2": "APT H",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97034",
            "telephone_number": "503-559-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18813 SW MARTIAZZI AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-765-5265",
            "fax_number": "503-765-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURALWAYS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "NITIKUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-266-1926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "OR",
            "license": "MD25791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25923",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NaturalWays Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.