OrganizationActive
Form Health LLC
NPI 1265605364 · Naturopath · Portland, OR
Form Health LLC is a Naturopath organization in Portland, OR (NPI 1265605364).
Provider details
- NPI number
- 1265605364
- Entity type
- Organization
- Primary specialty
- NaturopathOther Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Minarik, Owner(503) 232-5653
- License
- AC01027 (OR)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
8113 Se 13th Ave
Portland, OR 97202-6607
Phone: (503) 232-5653
Street-level locationGet directions
Mailing address
8113 Se 13th Ave
Portland, OR 97202-6607
Registry dates
- Enumerated
- 2008-04-09
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Frequently asked questions
- What is Form Health LLC's NPI number?
- Form Health LLC's National Provider Identifier (NPI) is 1265605364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Form Health LLC?
- Form Health LLC is classified in the NPPES registry as Naturopath (Other Service Providers).
- Where is Form Health LLC located?
- Form Health LLC's practice location on file with NPPES is 8113 Se 13th Ave, Portland, OR 97202-6607.
- What is Form Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Form Health LLC is (503) 232-5653.
- Who is the authorized official for Form Health LLC?
- The authorized official listed on Form Health LLC's NPPES record is Ryan Minarik, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Form Health LLC's NPI active?
- Yes — Form Health LLC's NPI (1265605364) is active in the NPPES registry as of the last update on 2025-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.