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FORM HEALTH LLC
NPI 1265605364
Naturopath in Portland, OR

Active since April 09, 2008
8113 SE 13TH AVE, PORTLAND, OR 97202(503) 232-5653 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Form Health Llc NPPES

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

FORM HEALTH LLC (NPI 1265605364) is a healthcare organization registered as a naturopath in Portland, Oregon and active in the NPI registry since April 2008. The organization lists Ryan Minarik, Owner, as its authorized official.

NPPES Registry Identity

NPI1265605364
Entity TypeOrganization
Primary Taxonomy175F00000X
Legal Business NameFORM HEALTH LLC
Location Address8113 SE 13TH AVEPortland, OR 97202-6607
Mailing Address8113 Se 13th AvePortland, OR 97202-6607 · (503) 232-5653
Phone(503) 232-5653
Organization SubpartNo
Authorized OfficialRyan MinarikOwner · (503) 232-5653
Enumeration DateApril 9, 2008
Last NPPES UpdateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1265605364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNaturopathOther Service Providers
Taxonomy Code175F00000X
License✔ Licensed in OR · 1517
Definition
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.
Also ListedAcupuncturistTaxonomy 171100000X · License AC01027 (OR)
8113 SE 13TH AVE, Portland, OR 97202
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. HILARY ALLIE ANDREWS N.D.
Naturopath
8113 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (503) 232-5653
HILARY CONSTANT L.AC
Acupuncturist
8113 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (925) 768-2378
DR. CAITLAN READHEAD N.D.
Naturopath
8113 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (503) 232-5653
CAT SALMON LMT
Massage Therapist
8113 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (503) 232-5653
LEAH KATHLEEN HOLLON LEAH HOLLON, ND, MPH
Naturopath
8113 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (503) 232-5653
THE GOLDEN HEART CENTER FOR WELLNESS, LLC
Clinic/Center
8113 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (503) 232-5653
DR. NATHALIE SABINE LACROUTE N.D.
Naturopath
8113 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (503) 888-9396
MARTIN SKOVIERA
Massage Therapist
8113 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (503) 451-3926

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 Form Health LLC's NPI number?

The NPI number for Form Health LLC is 1265605364. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Form Health LLC located?

Form Health LLC is located at 8113 SE 13th Ave, Portland, OR 97202. The listed phone number is (503) 232-5653.

What is Form Health LLC's specialty?

The primary specialty registered for this NPI is Naturopath with taxonomy code 175F00000X.

What insurance does Form Health LLC accept?

Health plans from Moda Health Plan, Inc. list Form Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Form Health LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.