NPIMap

Organization Active NPI

David Palacios Inc

  • Naturopath
  • Lake Oswego, OR
National Provider Identifier
1386359032
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
DAVID PALACIOS INC
Practice address
11830 Kerr Pkwy Ste 208
Lake Oswego, OR 97035-1228
Phone
(503) 334-2312
Fax
(971) 255-1900
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Dr. David Palacios, NDNPI 1124371836
Title
Naturopathic Physician
Phone
(503) 334-2312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

11830 Kerr Pkwy Ste 208
Lake Oswego, OR 97035-1228

Mailing address

11830 Kerr Pkwy Ste 208
Lake Oswego, OR 97035-1228
Phone (503) 334-2312

Other identifiers 2

IdentifierTypeStateIssuer
1124371836OtherORNATUROPATHIC PHYSICIAN
1215608260OtherORNATUROPATHIC PHYSICIAN

Other names 1

  • Regenerate PDX Doing business as

National Provider Directory

National Provider Directory

Locations

11830 Kerr Pkwy
Ste 208
Lake Oswego, OR 97035
Phone (503) 334-2312

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1386359032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 KERR PKWY STE 208",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351228",
            "telephone_number": "503-334-2312",
            "fax_number": "971-255-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 KERR PKWY STE 208",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351228",
            "telephone_number": "503-334-2312",
            "fax_number": "971-255-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID PALACIOS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "503-334-2312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC PHYSICIAN",
            "identifier": "1124371836",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC PHYSICIAN",
            "identifier": "1215608260",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerate PDX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.