NPIMap

Organization Active NPI

A Wellspring of Natural Health

  • Naturopath
  • Beaverton, OR
National Provider Identifier
1942645346
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
696 Issued in OR
Legal business name
A WELLSPRING OF NATURAL HEALTH
Practice address
4720 SW Watson Ave
Beaverton, OR 97005-0511
Phone
(503) 526-0397
Fax
(503) 643-4633
NPI assigned
Apr 30, 2013
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Marilyn Wasson
Title
Billing Manager
Phone
(503) 526-0397

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 95 OR
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 696 OR Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 753 OR

Addresses

Primary practice location

4720 SW Watson Ave
Beaverton, OR 97005-0511

Mailing address

4720 SW Watson Ave
Beaverton, OR 97005-0511
Phone (503) 526-0397

National Provider Directory

National Provider Directory

Locations

4720 SW Watson Ave
Beaverton, OR 97005
Phone (503) 526-0397

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1942645346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 SW WATSON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050511",
            "telephone_number": "503-526-0397",
            "fax_number": "503-643-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 SW WATSON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050511",
            "telephone_number": "503-526-0397",
            "fax_number": "503-643-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WELLSPRING OF NATURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "503-526-0397"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "95",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "696",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.