Active NPI
Alexandra Scamarone, L.AC.
- Acupuncturist
- Lake Oswego, OR
National Provider Identifier
1134468374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC161756
- Practice address
- 311 B Ave Ste L
Lake Oswego, OR 97034-3071 - Phone
- (503) 862-3649
- Fax
- (503) 974-0944
- NPI assigned
- Feb 7, 2013
- 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 | AC161756 | OR | Primary |
Addresses
Primary practice location
311 B Ave Ste L
Lake Oswego, OR 97034-3071
Mailing address
311 B Ave Ste L
Lake Oswego, OR 97034-3071
Phone (503) 862-3649
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | ehr2.charmtracker.com | ||
| SOAP URL | ehr2.charmtracker.com |
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 |
|---|---|---|---|
| AC161756 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sana Integrative Acupuncture | Acupuncturist | Current | Accepting new patients |
Locations
311 B Ave
Ste L
Lake Oswego, OR 97034
Phone (503) 699-6636
15630 Boones Ferry Rd
Ste 6
Lake Oswego, OR 97035
Phone (971) 346-0355
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.
-
- Acupuncturist
- Lake Oswego, OR
- NPI 1073158507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1134468374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 B AVE STE L",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343071",
"telephone_number": "503-862-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 B AVE STE L",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343071",
"telephone_number": "503-862-3649",
"fax_number": "503-974-0944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAMARONE",
"first_name": "ALEXANDRA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-07",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC161756",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "ehr2.charmtracker.com",
"affiliation": "N",
"address_1": "15630 Boones Ferry Rd Ste 6",
"city": "Lake Oswego",
"state": "OR",
"country_code": "US",
"postal_code": "970353455",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "ehr2.charmtracker.com",
"affiliation": "N",
"address_1": "311 B Ave Ste L",
"city": "Lake Oswego",
"state": "OR",
"country_code": "US",
"postal_code": "970343071",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 5, 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.