Active NPI
Naturalways Pediatrics
- Corporate Health Clinic/Center
- Tualatin, OR
National Provider Identifier
1932607934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corporate Health Clinic/Center
- License
- MD25791
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nitikul Solomon, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25923 | Medicaid | OR |
Other names 1
- NaturalWays Pediatrics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Palo Alto, CA
- NPI 1508833047
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.