Individual provider Active NPI

Eliot Wesley Edwards, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1952507675
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4049 Issued in OR
Practice address
1836 NE 7TH Ave Ste 205
Portland, OR 97212
Phone
(503) 206-6218
Fax
(888) 972-1720
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4049 OR Primary

Addresses

Primary practice location

1836 NE 7TH Ave Ste 205
Portland, OR 97212

Mailing address

1836 NE 7TH Ave Ste 205
Portland, OR 97212-3998
Phone (503) 206-6218

Other practice location 1

5331 SW MacAdam Ave Ste 380
Portland, OR 97239-3879
Phone (503) 894-9118

Other identifiers 1

IdentifierTypeStateIssuer
4049OtherOROR NATUROPATHIC PHYSICIAN LICENSE #4049

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Naturopathic Oncology LLC Current Accepting new patients

Locations

1836 NE 7th Ave
Ste 205
Portland, OR 97212
Phone (503) 206-6218

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952507675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 NE 7TH AVE STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123998",
            "telephone_number": "503-206-6218",
            "fax_number": "888-972-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 NE 7TH AVE STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "503-206-6218",
            "fax_number": "888-972-1720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5331 SW MacAdam Ave Ste 380",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393879",
            "country_code": "US",
            "telephone_number": "503-894-9118",
            "fax_number": "503-894-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ELIOT",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR NATUROPATHIC PHYSICIAN LICENSE #4049",
            "identifier": "4049",
            "state": "OR"
        }
    ],
    "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 Jul 21, 2022; 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.