OrganizationActive
Earth Source Medicine
NPI 1164952495 · Clinic/Center · Astoria, OR
Provider details
- NPI number
- 1164952495
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carolyn Nygaard, Owner(207) 209-4858
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
757 W Marine Dr Ste 103
Astoria, OR 97103-5848
Phone: (207) 209-4858
Fax: (207) 405-2199
Street-level locationGet directions
Mailing address
757 W Marine Dr Ste 103
Astoria, OR 97103-5848
Other names (DBA / former)
- Doing business as
- Astoria Integrative Family Medicine
- Doing business as
- Naturopathic By Design
Additional practice locations (1)
- 254 Commercial St Ste 258Portland, ME 04101-4664Phone: (207) 209-4858Fax: (207) 405-2199
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.