Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Integrative Medicine, LLC

Organization Health Service Clinic/Center · NPI 1407237175

Evergreen Integrative Medicine, LLC is a Health Service Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4926 SE Woodstock Blvd
Portland, OR 97206-6163
Phone: (503) 388-6715
Fax: (888) 302-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X · Licence 1333 (OR)

Record details

NPI number1407237175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Soszka — Member/Manager · (503) 388-6715
Other names Nw Functional Thyroid Clinic
NPI enumeratedJune 17, 2015
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022
Mailing address4926 Se Woodstock Blvd, Portland, OR 97206-6163

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