Active NPI
Andrea Rebecca Chladek, L.AC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1023537628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC222240
- Practice address
- 8317 SE 13TH Ave
Portland, OR 97202-7101 - Phone
- (971) 757-6035
- NPI assigned
- Sep 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC222240 | OR | Primary |
Addresses
Primary practice location
8317 SE 13TH Ave
Portland, OR 97202-7101
Mailing address
8317 SE 13TH Ave
Portland, OR 97202-7101
Phone (971) 757-6035
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC222240 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooke Seright Acupuncture LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1023537628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8317 SE 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027101",
"telephone_number": "971-757-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8317 SE 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027101",
"telephone_number": "971-757-6035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHLADEK",
"first_name": "ANDREA",
"middle_name": "REBECCA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC222240",
"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 Dec 17, 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.