Individual provider Active NPI

Alexander Rosan, DC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1245000462
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26276 Issued in OR
Practice address
5015 SE Hawthorne Blvd Unit a
Portland, OR 97215-3284
Phone
(415) 420-5747
NPI assigned
Jan 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 26276 OR Primary

Addresses

Primary practice location

5015 SE Hawthorne Blvd Unit a
Portland, OR 97215-3284

Mailing address

5015 SE Hawthorne Blvd Unit a
Portland, OR 97215-3284

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
26276ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1245000462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 SE HAWTHORNE BLVD UNIT A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 SE HAWTHORNE BLVD UNIT A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153284",
            "telephone_number": "415-420-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAN",
        "first_name": "ALEXANDER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26276",
            "primary": true
        }
    ],
    "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 Jul 28, 2026; 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.