Active NPI
Rebecca Elizabeth Krisko, N.D.
- Naturopath
- Portland, OR
National Provider Identifier
1306963806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1318
- Practice address
- 2256 N Albina Ave Ste 160
Portland, OR 97227-1774 - Phone
- (503) 274-9360
- Fax
- (503) 274-9370
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1318 | OR | Primary |
Addresses
Primary practice location
2256 N Albina Ave Ste 160
Portland, OR 97227-1774
Mailing address
2240 N Interstate Ave Ste 160
Portland, OR 97227-1771
Phone (503) 274-9360
Other names 1
- Dr. Rebecca Asmar
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1318 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bambu Clinic, LLC | Naturopath | Current | Accepting new patients |
Locations
3241 NE Broadway St
Portland, OR 97232
Phone (503) 267-9080
2256 N Albina Ave
Ste 160
Portland, OR 97227
Phone (503) 274-9360
2240 N Interstate Ave
Ste 160
Portland, OR 97227
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.
-
- Naturopath
- Portland, OR
- NPI 1285994269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1306963806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 N INTERSTATE AVE STE 160",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271771",
"telephone_number": "503-274-9360",
"fax_number": "503-274-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2256 N ALBINA AVE STE 160",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271774",
"telephone_number": "503-274-9360",
"fax_number": "503-274-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISKO",
"first_name": "REBECCA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "ASMAR",
"prefix": "DR.",
"credential": "ND",
"code": "1",
"type": "Former Name"
}
]
}
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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.