OrganizationActive
Wild Heart Natural Medicine LLC
NPI 1821706862 · Naturopath · Portland, OR
Provider details
- NPI number
- 1821706862
- Entity type
- Organization
- Primary specialty
- NaturopathOther Service Providers
- Organization subpart
- No
- Authorized official
- Amy Jackson, Naturopathic Physician(503) 757-6686
Specialties & taxonomies
Other Service Providers
Practice location
5215 Sw 62nd Ave
Portland, OR 97221-1176
Phone: (503) 757-6686
Approximate (ZIP-level) locationGet directions
Mailing address
5215 Sw 62nd Ave
Portland, OR 97221-1176
Registry dates
- Enumerated
- 2022-11-08
- Last updated
- 2023-12-26
- Certified
- 2023-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.