Individual provider Active NPI

Thomas Gates Aukland, LMT

  • Specialist
  • Portland, OR
National Provider Identifier
1003041450
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
60058033 Issued in WA
Practice address
11911 SE Division St Unit 20
Portland, OR 97266-1081
Phone
(503) 761-4023
Fax
(503) 761-4023
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 60058033 WA Primary

Addresses

Primary practice location

11911 SE Division St Unit 20
Portland, OR 97266-1081

Mailing address

11911 SE Division St Unit 20
Portland, OR 97266-1081
Phone (503) 761-4023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60058033WAMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1003041450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 SE DIVISION ST UNIT 20",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661081",
            "telephone_number": "503-761-4023",
            "fax_number": "503-761-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 SE DIVISION ST UNIT 20",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661081",
            "telephone_number": "503-761-4023",
            "fax_number": "503-761-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUKLAND",
        "first_name": "THOMAS",
        "middle_name": "GATES",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "60058033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.