SACRED VESSEL NATURAL MEDICINE
NPI 1073023941
Clinic/Center - Primary Care in Portland, OR

Active since October 05, 2017
4115 N MISSISSIPPI AVE, PORTLAND, OR 97217(503) 459-2584(503) 893-3087 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sacred Vessel Natural Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED VESSEL NATURAL MEDICINE (NPI 1073023941) is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since October 2017. The organization lists Angela Marie Carter, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1073023941
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSACRED VESSEL NATURAL MEDICINE
Location Address4115 N MISSISSIPPI AVEPortland, OR 97217-3130
Mailing Address4115 N Mississippi AvePortland, OR 97217-3130 · (503) 459-2584 · Fax (503) 893-3087
Fax(503) 893-3087
Organization SubpartNo
Authorized OfficialAngela Marie CarterClinical Director · (503) 459-2584
Enumeration DateOctober 5, 2017
Last NPPES UpdateJune 16, 2018
NPI 1073023941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNaturopathTaxonomy 175F00000X · License 1875 (OR)
4115 N MISSISSIPPI AVE, Portland, OR 97217

Other Identifiers 1

Medicaid500667244OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Naturopath
4115 N MISSISSIPPI AVE
PORTLAND, OR 97217
Acupuncturist
4115 N MISSISSIPPI AVE
PORTLAND, OR 97217
Prevention Professional
4115 N MISSISSIPPI AVE
PORTLAND, OR 97217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Vessel Natural Medicine's NPI number?

The NPI number for Sacred Vessel Natural Medicine is 1073023941. It was assigned to this organization in the NPPES registry on October 5, 2017.

Where is Sacred Vessel Natural Medicine located?

Sacred Vessel Natural Medicine is located at 4115 N Mississippi Ave, Portland, OR 97217. The listed phone number is (503) 459-2584.

What is Sacred Vessel Natural Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Sacred Vessel Natural Medicine was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.