Organization Active NPI

Guevara Therapeutics LLC

  • Naturopath
  • Happy Valley, OR
National Provider Identifier
1316473184
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4071 Issued in OR
Legal business name
GUEVARA THERAPEUTICS LLC
Practice address
16144 SE Happy Valley Town Center Dr Ste 214
Happy Valley, OR 97086-4257
Phone
(503) 658-7715
Fax
(503) 658-7181
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Alberto Guevara, N.D.
Title
Owner
Phone
(541) 701-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 4071 OR Primary

Addresses

Primary practice location

16144 SE Happy Valley Town Center Dr Ste 214
Happy Valley, OR 97086-4257

Mailing address

2719 SW Troy St
Portland, OR 97219-2552
Phone (541) 701-5900

National Provider Directory

National Provider Directory

Locations

16144 SE Happy Valley Town Center Dr
Ste 214
Portland, OR 97086
Phone (503) 400-9397

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1316473184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 SW TROY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192552",
            "telephone_number": "541-701-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16144 SE HAPPY VALLEY TOWN CENTER DR STE 214",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864257",
            "telephone_number": "503-658-7715",
            "fax_number": "503-658-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUEVARA THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-701-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.