Evergreen Integrative Medicine, LLC
NPI 1407237175 · Health Service Clinic/Center · Portland, OR
Evergreen Integrative Medicine, LLC is a Health Service Clinic/Center organization in Portland, OR (NPI 1407237175).
Provider details
- NPI number
- 1407237175
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawn Soszka, Member/Manager(503) 388-6715
- License
- 1333 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Doing business as
- Nw Functional Thyroid Clinic
Registry dates
- Enumerated
- 2015-06-17
- Last updated
- 2022-03-24
- Certified
- 2022-03-24
Frequently asked questions
- What is Evergreen Integrative Medicine, LLC's NPI number?
- Evergreen Integrative Medicine, LLC's National Provider Identifier (NPI) is 1407237175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Integrative Medicine, LLC?
- Evergreen Integrative Medicine, LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evergreen Integrative Medicine, LLC located?
- Evergreen Integrative Medicine, LLC's practice location on file with NPPES is 4926 Se Woodstock Blvd, Portland, OR 97206-6163.
- What is Evergreen Integrative Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Integrative Medicine, LLC is (503) 388-6715.
- Who is the authorized official for Evergreen Integrative Medicine, LLC?
- The authorized official listed on Evergreen Integrative Medicine, LLC's NPPES record is Shawn Soszka, Member/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Integrative Medicine, LLC's NPI active?
- Yes — Evergreen Integrative Medicine, LLC's NPI (1407237175) is active in the NPPES registry as of the last update on 2022-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.