Individual provider Active NPI

Alexander Freeman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1073312716
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10023371 Issued in OR
Practice address
12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687
Phone
(833) 931-1716
Fax
(866) 519-5427
NPI assigned
Mar 13, 2025
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10023371 OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95040291 CA

Addresses

Primary practice location

12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687

Mailing address

582 Market St Ste 1608
San Francisco, CA 94104-5317
Phone (833) 931-1716

Other practice location 1

4295 Gesner St Ste 2E
San Diego, CA 92117-6660
Phone (833) 931-1716

Other practice location 2

582 Market St Ste 1608
San Francisco, CA 94104-5317
Phone (833) 931-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415003713 OR Practitioner - Nurse Practitioner 0345716585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Well Coast Medical CorporationGroup PAC ID 4587094826, 11 clinicians

Practice addresses (Care Compare)

1020 SW Taylor St
Suite 560
Portland, OR 97205-2533
Phone (833) 931-1716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10023371ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well Coast Medical Corporation Psychiatric/Mental Health CurrentSince Jul 22, 2025 Accepting new patients
Well Coast Psychiatric Inc. a Nursing Corp Psychiatric/Mental Health PastSince Jul 22, 2025 Accepting new patients

Locations

582 Market St
Ste 1608
San Francisco, CA 94104
Phone (415) 521-1506

1020 SW Taylor St
Ste 560
Portland, OR 97205
Phone (503) 231-1711

Organizations & group practices 2

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": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1073312716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051687",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4295 Gesner St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176660",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "582 Market St Ste 1608",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941045317",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ALEXANDER",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-13",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10023371",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95040291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.