Individual provider Active NPI

Alexandra Scamarone, L.AC.

  • Acupuncturist
  • Lake Oswego, OR
National Provider Identifier
1134468374
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC161756 Issued in OR
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

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
AC161756ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.