OrganizationActive
Jeremy Mikolai Nd Inc
NPI 1033674841 · Primary Care Clinic/Center · Portland, OR
Provider details
- NPI number
- 1033674841
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Mikolai, Medical Director/Ceo(507) 327-4451
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2540 Ne M L King Blvd
Portland, OR 97212-3732
Phone: (507) 800-0056
Fax: (844) 965-9136
Street-level locationGet directions
Mailing address
4110 Se Hawthorne Blvd # 132
Portland, OR 97214-5246
Other names (DBA / former)
- Doing business as
- Sequoia Natural Medicine
Registry dates
- Enumerated
- 2019-02-06
- Last updated
- 2019-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.