NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Earth Source Medicine

Clinic/Center in Astoria, OR · enumerated 2017 · authorized official Carolyn Nygaard, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164952495

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Earth Source Medicine
Other name <Unavail>
Practice address 757 W Marine Dr Ste 103, Astoria, OR, 97103
Phone (207) 209-4858
Fax (207) 405-2199
Enumeration date Jun 19, 2017
Last updated in NPPES Apr 21, 2026

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Carolyn Nygaard
Title Owner
Phone (207) 209-4858

Other identifiers

Identifier Type State Issuer
500642404 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Earth Source Medicine?
NPPES lists Carolyn Nygaard (Owner) as the authorized official for this organization.
What is the NPI number for Earth Source Medicine?
The NPI for Earth Source Medicine is 1164952495, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-21.