NPIMap

Organization Active NPI

Alberta Healing Arts Center

  • Naturopath
  • Portland, OR
National Provider Identifier
1144683160
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1571 Issued in OR
Legal business name
ALBERTA HEALING ARTS CENTER
Practice address
6533 NE Sandy Blvd
Portland, OR 97213-4569
Phone
(503) 206-5309
Fax
(503) 914-0459
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Dr. Brian Vaitkus, NDNPI 1972758597
Title
Cmo
Phone
(503) 206-5309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC01094 OR
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X 1571 OR Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

6533 NE Sandy Blvd
Portland, OR 97213-4569

Mailing address

6533 NE Sandy Blvd
Portland, OR 97213-4569
Phone (503) 206-5309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210331002551 OR Part B Supplier - Mass Immunization (Roster Biller Only) 7416364153 Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

6533 NE Sandy Blvd
Portland, OR 97213
Phone (503) 206-5309

1223 NE Alberta St
#B
Portland, OR 97211

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1144683160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134569",
            "telephone_number": "503-206-5309",
            "fax_number": "503-914-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134569",
            "telephone_number": "503-206-5309",
            "fax_number": "503-914-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTA HEALING ARTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "VAITKUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "503-206-5309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01094",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1571",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.