{"npi":"1285159251","type":"NPI-2","status":"active","name":{"display":"Wild Earth Wellness","other":[],"organization_name":"WILD EARTH WELLNESS","authorised_official":"Jennifer Boom"},"specialty":{"primary_taxonomy":"261QH0100X","primary_taxonomy_description":"Health Service Clinic/Center","slug":"health-service-clinic-center","schema_org_specialty":null,"all":[{"code":"261QH0100X","description":"Health Service Clinic/Center","primary":true,"state":"OR","license":"7615"}]},"addresses":[{"purpose":"LOCATION","street_1":"24850 SE STARK ST STE 200","city":"GRESHAM","state":"OR","postal_code":"970308320","country_code":"US","phone":"5033102622"},{"purpose":"MAILING","street_1":"24850 SE STARK ST STE 200","city":"GRESHAM","state":"OR","postal_code":"970308320","country_code":"US","phone":"5033102622"}],"license":{"state":"OR","number":"7615"},"identifiers":[{"type_code":"01","label":"Other","value":"1164547634","state":null,"issuer":"NPI"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-08-10","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}