DR. AVIVA D WERTKIN


Address: 222 Auburn St Ste 102, Portland, ME 04103-6005
Phone: 2078990540

DR. AVIVA D WERTKIN (NPI# 1649444951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649444951
Entity Type Individual
Full Name DR. AVIVA D WERTKIN
Credential ND NATUROPATHIC DOCT
Practice Address 222 Auburn St Ste 102
Portland
ME 04103-6005
Practice Telephone 2078990540
Practice Fax Number 2078990546
Mailing Telephone 2078990540
Mailing Fax Number 2078990546
Enumeration Date 2008-04-17
Last Update Date 2020-03-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 175F00000X Naturopath 099.0100226 VT Other Service Providers
N 207Q00000X Family Medicine 099.0100226 VT Allopathic & Osteopathic Physicians
Y 208D00000X General Practice NP624 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM BLUE CROSS 110000384CT01 01
CAQH NUMBER 11805577 01

Office Location

Street Address 222 AUBURN ST STE 102
City PORTLAND
State ME
Zip Code 04103-6005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477045961 Sisu Chiro Pllc Chiropractor 222 Auburn St Ste 102, Portland, ME 04103 2018-05-31
1649679457 Benjamin James Goudreau Chiropractor 222 Auburn St Ste 102, Portland, ME 04103-6005 2014-08-18
1881977064 Jesse Carmen Mead Chiropractor 222 Auburn St Ste 102, Portland, ME 04103 2011-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis Counselor 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1346751443 Providence Health & Services Oregon General Practice 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 2017-10-16
1336697143 Rita Lawler General Practice 8353 Se Clatsop Ct, Portland, OR 97266-6159 2016-09-21
1235526849 Hollis Lule Augee General Practice 5151 S.w. 88th Ave., Portland, OR 97225-1717 2015-04-21
1093134496 Red Leaf Natural Health Clinic General Practice 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 2014-04-14
1861770190 Jeffrey Owen Pentecost General Practice 3574 Se Harold Ct, Portland, OR 97202-4344 2011-08-03
1255651592 Nic Group Inc General Practice 8383 Ne Sandy Blvd Ste 320dd, Portland, OR 97220-4968 2010-06-09
1619296985 Thcf General Practice 105 Se 18th Ave, Portland, OR 97214-1559 2010-05-25
1518106640 Keith C Klopfer General Practice 1601 Sw Pendleton St, Portland, OR 97239-2619 2009-02-12
1275793424 Harriet Cooke General Practice 2929 Sw Multnomah Blvd Ste 301, Portland, OR 97219-4072 2008-06-11
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Competitor

Search similar providers

City PORTLAND
Zip Code 04103

Improve Information

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Dataset Information

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.

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