NPIMap

Organization Active NPI

Maureen Becker ND Lac PC

  • Naturopath
  • Portland, OR
National Provider Identifier
1164695698
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0505 Issued in OR
Legal business name
MAUREEN BECKER ND LAC PC
Practice address
5013 SE Hawthorne Blvd
Portland, OR 97215-3255
Phone
(503) 736-9900
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Maureen Leah Becker, ND LAC PCNPI 1568415651
Title
President
Phone
(503) 736-9900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC00137 OR
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X 0505 OR Primary

Addresses

Primary practice location

5013 SE Hawthorne Blvd
Portland, OR 97215-3255

Mailing address

5013 SE Hawthorne Blvd
Portland, OR 97215-3255
Phone (503) 736-9900

Other identifiers 1

IdentifierTypeStateIssuer
119177 ORMedicaidOR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0885455Maureen Becker ND PC5013 SE Hawthorne, Portland, OR 97215Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1164695698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153255",
            "telephone_number": "503-736-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153255",
            "telephone_number": "503-736-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN BECKER ND LAC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-736-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND LAC PC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00137",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119177 OR",
            "state": "OR"
        }
    ],
    "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 Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.