Individual provider Active NPI

Rachael Amy O'Connell, ND

  • Naturopath
  • Portland, OR
National Provider Identifier
1003377789
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4255 Issued in OR
Practice address
8375 SW Beaverton Hillsdale Hwy Ste 100
Portland, OR 97225-2252
Phone
(503) 298-4104
Fax
(503) 379-0967
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4255 OR Primary
Naturopath 175F00000X 19-1784 AZ

Addresses

Primary practice location

8375 SW Beaverton Hillsdale Hwy Ste 100
Portland, OR 97225-2252

Mailing address

8375 SW Beaverton Hillsdale Hwy Ste 100
Portland, OR 97225-2252
Phone (503) 298-4104

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
19-1784AZMDNaturopath
4255ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1003377789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 SW BEAVERTON HILLSDALE HWY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252252",
            "telephone_number": "503-298-4104",
            "fax_number": "503-379-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 SW BEAVERTON HILLSDALE HWY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252252",
            "telephone_number": "503-298-4104",
            "fax_number": "503-379-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "RACHAEL",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4255",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "19-1784",
            "primary": false
        }
    ],
    "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 Nov 6, 2024; 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.