Active NPI
Eliot Wesley Edwards, N.D.
- Naturopath
- Portland, OR
National Provider Identifier
1952507675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4049
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4049 | Other | OR | OR 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
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Tigard, OR
- NPI 1922731991
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.