Organization Active NPI

Whittaker Wellness and Performance Center

  • Naturopath
  • Portland, OR
National Provider Identifier
1992172977
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1530 Issued in OR
Legal business name
WHITTAKER WELLNESS AND PERFORMANCE CENTER
Practice address
1000 SW Broadway
Suite 1210
Portland, OR 97205-3003
Phone
(503) 224-3898
Fax
(503) 241-4079
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Barbara Whittaker, ND
Title
Physician
Phone
(503) 224-3898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 3181 OR
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X 1530 OR Primary

Addresses

Primary practice location

1000 SW Broadway
Suite 1210
Portland, OR 97205-3003

Mailing address

1000 SW Broadway
Suite 1210
Portland, OR 97205-3003
Phone (503) 224-3898

National Provider Directory

National Provider Directory

Locations

1000 SW Broadway
Ste 1210
Portland, OR 97205
Phone (503) 224-3898

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1992172977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SW BROADWAY",
            "address_2": "SUITE 1210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053003",
            "telephone_number": "503-224-3898",
            "fax_number": "503-241-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SW BROADWAY",
            "address_2": "SUITE 1210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053003",
            "telephone_number": "503-224-3898",
            "fax_number": "503-241-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTAKER WELLNESS AND PERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-224-3898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "3181",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1530",
            "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 Aug 26, 2015; 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.