Northwest Wellness

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

50F0968535 Issued in OR

Legal business name

NORTHWEST WELLNESS

Practice address

5115 NE 76TH St
Vancouver, WA 98661-1357

Phone

(888) 837-8567

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Ogle, MD

Title

Director

Phone

(888) 837-8567

Specialties & licenses 4

Addresses

Locations (25 of 60)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1982771812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 NE 76TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611357",
            "telephone_number": "888-837-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 NE 76TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611357",
            "telephone_number": "888-837-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-837-8567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "50F0968535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Surgical Specialists PC
• Northwest Surgical Specialists PC (Rebound Orthopedic and Neurosurgical)
• Northwest Surgical Specialists PC (Rebound Orthopedic and Neurosurgery Specialists)
• Northwest Surgical Specialists PC
• Northwest Treatment Services Inc.
• Julian Norton
• Kathryn Norton, PHARMD
• Hollis Jean Nosler
• Linda Noval, PSYD
• Meredy Novin, PTA

• Clinical Medical Laboratory in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.