Active NPI
Hayley Jensen, ND, LAC
- Naturopath
- Portland, OR
National Provider Identifier
1942962030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4431
- Practice address
- 4004 SE Woodstock Blvd
Portland, OR 97202-7662 - Phone
- (503) 777-0444
- Fax
- (503) 777-0445
- NPI assigned
- Oct 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 4431 | OR | Primary |
Addresses
Primary practice location
4004 SE Woodstock Blvd
Portland, OR 97202-7662
Mailing address
4004 SE Woodstock Blvd
Portland, OR 97202-7662
Phone (503) 777-0444
Other practice location 1
7477 SE 52nd Ave
Portland, OR 97206-8206
Phone (503) 388-6408
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 |
|---|---|---|---|
| 4431 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Hayley Jensen LLC | Naturopath | Current | Accepting new patients |
| Nourishing Life Collective | Naturopath | Current | Accepting new patients |
| Dr. Kacy Borba, LLC | Naturopath | Past | Accepting new patients |
| Pohala Clinic PC | Naturopath | Past | Accepting new patients |
Locations
3942 SE Hawthorne Blvd
Portland, OR 97214
Phone (503) 234-2070
Interoperability endpoints
- https://api.platform.athenahealth.com/22190/brand/1/csg/1/fhir/r4
- hayley.jensen.1@22190.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Naturopath
- Portland, OR
- NPI 1710712443
-
- Naturopath
- Portland, OR
- NPI 1992648968
-
- Naturopath
- Portland, OR
- NPI 1366941569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1942962030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 SE WOODSTOCK BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027662",
"telephone_number": "503-777-0444",
"fax_number": "503-777-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 SE WOODSTOCK BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027662",
"telephone_number": "503-777-0444",
"fax_number": "503-777-0445"
}
],
"practiceLocations": [
{
"address_1": "7477 SE 52nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972068206",
"country_code": "US",
"telephone_number": "503-388-6408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "HAYLEY",
"name_prefix": "Dr.",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 6, 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.