Organization Active NPI

Synaptic Integrative Care LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1952906778
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
SYNAPTIC INTEGRATIVE CARE LLC
Practice address
6536 SE Duke St. Suite 7
Portland, OR 97206
Phone
(971) 253-4792
Fax
(971) 358-8772
NPI assigned
Dec 1, 2020
Last updated
Jul 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Dr. Matthew Raymond Hicks, NDNPI 1740764927
Title
Owner
Phone
(971) 403-0884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NU Primary

Addresses

Primary practice location

6536 SE Duke St. Suite 7
Portland, OR 97206

Mailing address

6536 SE Duke St, Suite 7
Portland, OR 97206
Phone (971) 253-4792

National Provider Directory

National Provider Directory

Locations

1020 SW Taylor St
Ste 650
Portland, OR 97205
Phone (503) 224-4654

6536 SE Duke St
Ste 7
Portland, OR 97206
Phone (971) 253-4792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1952906778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 SE DUKE ST, SUITE 7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97206",
            "telephone_number": "971-253-4792",
            "fax_number": "971-358-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 SE DUKE ST. SUITE 7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97206",
            "telephone_number": "971-253-4792",
            "fax_number": "971-358-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPTIC INTEGRATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-403-0884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "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 Jul 8, 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.