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EMERALD VALLEY WELLNESS CLINIC
NPI 1184833139
General Practice in Creswell, OR

Active since May 22, 2007CLIA 20D0089098 · Microscopy
300 N MILL ST STE A, CRESWELL, OR 97426(541) 895-5300 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emerald Valley Wellness Clinic NPPES

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

EMERALD VALLEY WELLNESS CLINIC (NPI 1184833139) is a healthcare organization registered as a general practice in Creswell, Oregon and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Richard A. Hansen, President, as its authorized official.

NPPES Registry Identity

NPI1184833139
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEMERALD WELLNESS, P.C.
Location Address300 N MILL ST STE ACreswell, OR 97426-9848
Mailing AddressPo Box 1057Creswell, OR 97426-1057 · (541) 895-5300
Phone(541) 895-5300
Organization SubpartNo
Authorized OfficialRichard A. HansenPresident · (541) 895-5300
Enumeration DateMay 22, 2007
Last NPPES UpdateMay 2, 2012
✔ NPI 1184833139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OR · MD22235
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
300 N MILL ST STE A, Creswell, OR 97426
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Other Names 1

Doing Business AsEmerald Valley Wellness Clinic

Other Identifiers 1

Medicare PINR115107OR

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 20D0089098

Emerald Wellness PC Emerald Valley Wellness Clinic · Creswell, OR
Active · expires Aug 31, 2026
CLIA Number20D0089098
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRichard A. Hansen MD
Laboratory Phone(541) 895-5300
Laboratory LocationEmerald Wellness PC Emerald Valley Wellness Clinic300 N Mill St Suite A, Creswell, OR 97426
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. RICHARD HANSEN M.D.
Family Medicine (Adult Medicine)
300 N MILL ST STE A
CRESWELL, OR 97426
Lane County (541) 895-5300

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 Emerald Wellness, P.C.'s NPI number?

The NPI number for Emerald Wellness, P.C. is 1184833139. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is doing business as Emerald Valley Wellness Clinic.

Where is Emerald Wellness, P.C. located?

Emerald Wellness, P.C. is located at 300 N Mill St Ste A, Creswell, OR 97426. The listed phone number is (541) 895-5300.

What is Emerald Wellness, P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Emerald Wellness, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 20D0089098) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emerald Wellness, P.C. was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.