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NW FUNCTIONAL THYROID CLINIC
NPI 1407237175
Clinic/Center - Health Service in Portland, OR

Active since June 17, 2015
4926 SE WOODSTOCK BLVD, PORTLAND, OR 97206(503) 388-6715(888) 302-5652 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2021, May 17, 2021, Jun 22, 2017 and 1 more (4 updates tracked since 2017).

About Nw Functional Thyroid Clinic NPPES

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

NW FUNCTIONAL THYROID CLINIC (NPI 1407237175) is a healthcare organization registered as a health service in Portland, Oregon and active in the NPI registry since June 2015. The organization lists Shawn Scott Soszka, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1407237175
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEVERGREEN INTEGRATIVE MEDICINE, LLC
Location Address4926 SE WOODSTOCK BLVDPortland, OR 97206-6163
Mailing Address4926 Se Woodstock BlvdPortland, OR 97206-6163 · (503) 388-6715 · Fax (888) 302-5652
Phone(503) 388-6715
Fax(888) 302-5652
Organization SubpartNo
Authorized OfficialShawn Scott SoszkaMember/manager · (503) 388-6715
Enumeration DateJune 17, 2015
Last NPPES UpdateMarch 24, 20224 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
✔ NPI 1407237175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in OR · 1333
4926 SE WOODSTOCK BLVD, Portland, OR 97206
Open in Google Maps ↗

Other Names 1

Doing Business AsNw Functional Thyroid Clinic

Other Identifiers 1

Medicaid275019OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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. SHAWN SCOTT SOSZKA N.D., L.AC.
Naturopath
4926 SE WOODSTOCK BLVD
PORTLAND, OR 97206
Multnomah County (503) 388-6715

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 Evergreen Integrative Medicine, LLC's NPI number?

The NPI number for Evergreen Integrative Medicine, LLC is 1407237175. It was assigned to this organization in the NPPES registry on June 17, 2015. The provider is doing business as NW Functional Thyroid Clinic.

Where is Evergreen Integrative Medicine, LLC located?

Evergreen Integrative Medicine, LLC is located at 4926 SE Woodstock Blvd, Portland, OR 97206. The listed phone number is (503) 388-6715.

What is Evergreen Integrative Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

What insurance does Evergreen Integrative Medicine, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Evergreen Integrative Medicine, 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 Evergreen Integrative Medicine, LLC was last updated on March 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.