Individual provider Active NPI

Stacie Rene Wolfe, ND

  • Naturopath
  • Portland, OR
National Provider Identifier
1962952887
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4023 Issued in OR
Practice address
1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322
Phone
(503) 232-1100
Fax
(503) 232-7751
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4023 OR Primary

Addresses

Primary practice location

1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322

Mailing address

1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322
Phone (503) 232-1100

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
4023ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Natural Medicine, Inc Naturopath CurrentSince Mar 14, 2016 Accepting new patients
Outside in Naturopath Past Accepting new patients
Outside in Past Accepting new patients

Locations

1330 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 232-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1962952887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144322",
            "telephone_number": "503-232-1100",
            "fax_number": "503-232-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144322",
            "telephone_number": "503-232-1100",
            "fax_number": "503-232-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "STACIE",
        "middle_name": "RENE",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4023",
            "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 Jun 12, 2026; 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.