Active NPI
Alexandra R Gotea
- Naturopath
- Portland, OR
National Provider Identifier
1326550591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4104
- Practice address
- 2121 NE Halsey St
Portland, OR 97232-1522 - Phone
- (503) 850-7022
- NPI assigned
- Oct 27, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC190572 | OR | |
| Naturopath | 175F00000X | 4104 | OR | Primary |
Addresses
Primary practice location
2121 NE Halsey St
Portland, OR 97232-1522
Mailing address
2121 NE Halsey St
Portland, OR 97232-1522
Phone (503) 850-7022
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 |
|---|---|---|---|
| AC190572 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Wellness and Healing LLC | Naturopath | Current | Accepting new patients |
| Pohala Clinic PC | Naturopath | Past | Accepting new patients |
Locations
2121 NE Halsey St
Portland, OR 97232
Phone (503) 234-7299
2119 NE Halsey St
Portland, OR 97232
Phone (503) 249-2121
Interoperability endpoints
- https://api.platform.athenahealth.com/22190/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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 1841854858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1326550591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321522",
"telephone_number": "503-850-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321522",
"telephone_number": "503-850-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTEA",
"first_name": "ALEXANDRA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-27",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC190572",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4104",
"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 Jan 13, 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.