Individual provider Active NPI

David Alfonso Palacios, N.D.

  • Naturopath
  • Lake Oswego, OR
National Provider Identifier
1124371836
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1900 Issued in OR
Practice address
11830 Kerr Pkwy Ste 208
Lake Oswego, OR 97035-1228
Phone
(503) 334-2312
Fax
(971) 255-1900
NPI assigned
Oct 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1900 OR Primary

Addresses

Primary practice location

11830 Kerr Pkwy Ste 208
Lake Oswego, OR 97035-1228

Mailing address

2820 SW Streamside Dr
Portland, OR 97219-8954
Phone (831) 227-5192

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
1900ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
David Palacios Inc Naturopath CurrentSince Jan 22, 2023 Accepting new patients

Locations

11830 Kerr Pkwy
Ste 208
Lake Oswego, OR 97035
Phone (503) 334-2312

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1124371836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 SW STREAMSIDE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198954",
            "telephone_number": "831-227-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 KERR PKWY STE 208",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351228",
            "telephone_number": "503-334-2312",
            "fax_number": "971-255-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "DAVID",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.