VERDURA FAMILY WELLNESS, INC (NPI# 1043577869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043577869 |
| Entity Type | Organization |
| Organization Name | VERDURA FAMILY WELLNESS, INC |
| Other Organization Name | VERDURA FAMILY WELLNESS, INC-CARLTON |
| Practice Address |
348 S Pine St Carlton OR 97111-1228 |
| Mailing Address |
434 S 1st Ave Ste 300 Hillsboro OR 97123-3957 |
| Practice Telephone | 5036488210 |
| Practice Fax Number | 5036488283 |
| Mailing Telephone | 5036488210 |
| Mailing Fax Number | 5036488283 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | SARA MILLER (PRACTICE MANAGER) |
| Authorized Official Telephone | 5036488210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Verdura Family Wellness, Inc-Carlton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629332333 | Verdura Family Wellness, Inc | Clinic/Center | 120 Larch Pl, Yamhill, OR 97148-2007 | 2012-06-27 |
| 1346507746 | Verdura Family Wellness, Inc | Clinic/Center | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-23 |
| 1902170251 | Verdura Family Wellness, Inc | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2012-03-05 |
| 1245500651 | Verdura Family Wellness, Inc | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2012-01-03 |
| Street Address |
348 S PINE ST |
| City | CARLTON |
| State | OR |
| Zip Code | 97111-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
| 1346507746 | Verdura Family Wellness, Inc | Clinic/Center | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922480656 | Tia J Baxter | Massage Therapist | 500 N Gilwood St, Carlton, OR 97111 | 2015-06-18 |
| 1295031870 | Carlton Dental | Dentist | 133 E. Main St., Carlton, OR 97111 | 2011-01-31 |
| 1518966423 | Mark A. Miller | Dentist | 133 E Main, Carlton, OR 97111 | 2005-07-21 |
| 1134573843 | Jacqueline Gambee | Dentist | 133 E Main St, Carlton, OR 97111 | 2016-04-19 |
| 1275912560 | Carlton Dental, LLC | Dentist | 133 E Main St, Carlton, OR 97111 | 2015-05-20 |
| 1568587194 | Jeremiah W Cook | Massage Therapist | 310 S 3rd St, Carlton, OR 97111-0610 | 2007-03-20 |
| 1801155320 | Nichole Alexandria Pilakowski | Veterinarian | 230 S Pine St, Carlton, OR 97111-1169 | 2012-05-04 |
| 1033666730 | Jennifer Kelley | Counselor | 712 N 8th St, Carlton, OR 97111-1233 | 2016-09-09 |
| 1942849872 | Carlton Wellness Studio LLC | Massage Therapist | 455 W Main St, Carlton, OR 97111-8904 | 2019-12-23 |
| 1851623888 | Christina Michelle Perdew | Specialist | 455 W Main St, Carlton, OR 97111-8904 | 2010-02-01 |
| Find all providers in zip 97111 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.