Individual provider Active NPI

Timothy L Seaton, LAC, LMT, CPT

  • Phlebotomy Technician
  • Portland, OR
National Provider Identifier
1952712358
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
1355 NW Everett St Ste 100
Portland, OR 97209-2655
Phone
(971) 433-5334
Fax
(971) 200-8669
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X
Massage Therapist 225700000X MT132983 TX
Clinical Laboratory Director (Non-physician) 247ZC0005X
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

1355 NW Everett St Ste 100
Portland, OR 97209-2655

Mailing address

1355 NW Everett St Ste 100
Portland, OR 97209-2655
Phone (971) 433-5334

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

LicenseStateTypeSpecialty
MT132983TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Lab Services LLC Current Accepting new patients
Stumptown Lab Services LLC Phlebotomy CurrentSince Oct 27, 2024 Accepting new patients
Venidirect LLC Phlebotomy PastSince Apr 10, 2022 Accepting new patients

Locations

1355 NW Everett St
Ste 100
Portland, OR 97209
Phone (503) 610-3607

Organizations & group practices 3

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1952712358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 NW EVERETT ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092655",
            "telephone_number": "971-433-5334",
            "fax_number": "971-200-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 NW EVERETT ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092655",
            "telephone_number": "971-433-5334",
            "fax_number": "971-200-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEATON",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LAC, LMT, CPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT132983",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "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 21, 2024; 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.