Active NPI
Sydney Hwang, ND, LAC
- Naturopath
- Portland, OR
National Provider Identifier
1942735535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4031
- Practice address
- 7411 SE Powell Blvd
Portland, OR 97206-2451 - Phone
- (503) 278-6377
- NPI assigned
- Apr 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC181236 | OR | |
| Naturopath | 175F00000X | 4031 | OR | Primary |
Addresses
Primary practice location
7411 SE Powell Blvd
Portland, OR 97206-2451
Mailing address
5000 SW Butternut PL
Beaverton, OR 97078-2403
Phone (503) 278-6377
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Portland |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC181236 | OR | MD | Acupuncturist |
| 4031 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panacea Health & Wellness, LLC | Acupuncturist | Current | Accepting new patients |
Locations
20510 SW Roy Rogers Rd
Ste 100
Sherwood, OR 97140
Phone (503) 810-5333
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1942735535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 SW BUTTERNUT PL",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970782403",
"telephone_number": "503-278-6377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7411 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972062451",
"telephone_number": "503-278-6377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "SYDNEY",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-21",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC181236",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4031",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Portland",
"affiliation": "N",
"address_1": "7411 SE Powell Blvd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972062451",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.