Active NPI
Alexander Freeman, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10023371
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10023371 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Coast Medical Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Well Coast Psychiatric Inc. a Nursing Corp | Psychiatric/Mental Health | Past | 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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1881245231
OR, Psychiatric/Mental Health
-
dba Celium Healthcare
- Psychiatry Physician
- Tigard, OR
- NPI 1841784725
Psychiatric/Mental Health
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
- Frederick J Massar DMD PC
- Delinda Louise Free, LCSW, LMT
- Kurt Edwin Free, PH.D.
- Thomas Freedland, DC
- Freedom PT
- Mark Freeman
- Michael Wayne Freier
- Daniel Earl French, D.M.D.
- Fresenius Medical Care West Portland Dialysis Services, LLC (PNRS Twin Oaks)
- Fresenius Medical Care West Portland Dialysis Services, LLC (PNRS Beaverton Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.