Individual provider Active NPI

Rebecca Elizabeth Krisko, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1306963806
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1318 Issued in OR
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

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
1318ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Bambu Clinic, LLC Naturopath CurrentSince Jul 9, 2023 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.

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.

Verify at the official NPI Registry.