Organization Active NPI

Dr Alexandria LLC

  • Naturopath
  • Tigard, OR
National Provider Identifier
1205316874
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
DR ALEXANDRIA LLC
Practice address
10110 SW Nimbus Ave Ste B3
Tigard, OR 97223-4359
Phone
(971) 213-5775
Fax
(503) 213-6330
NPI assigned
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Dr. Alexandria Nguyen-Johnson, ND, LACNPI 1487103362
Title
Director
Phone
(971) 213-5775

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: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

10110 SW Nimbus Ave Ste B3
Tigard, OR 97223-4359

Mailing address

15548 SW Wintergreen St
Tigard, OR 97223-2616
Phone (971) 213-5775

Other identifiers 2

IdentifierTypeStateIssuer
500753160MedicaidOR
500753165MedicaidOR

National Provider Directory

National Provider Directory

Locations

10110 SW Nimbus Ave
Ste B2
Tigard, OR 97223

10110 SW Nimbus Ave
Ste B3
Tigard, OR 97223
Phone (971) 213-5775

11845 SW Greenburg Rd
Ste 110
Tigard, OR 97223
Phone (971) 328-0071

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1205316874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15548 SW WINTERGREEN ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232616",
            "telephone_number": "971-213-5775",
            "fax_number": "503-213-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 SW NIMBUS AVE STE B3",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234359",
            "telephone_number": "971-213-5775",
            "fax_number": "503-213-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALEXANDRIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN-JOHNSON",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "971-213-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500753160",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500753165",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.