Individual provider Active NPI

Shawn Scott Soszka, N.D., L.AC.

  • Naturopath
  • Portland, OR
National Provider Identifier
1649228636
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1333 Issued in OR
Practice address
4926 SE Woodstock Blvd
Portland, OR 97206-6163
Phone
(503) 388-6715
Fax
(888) 303-5652
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1333 OR Primary
Acupuncturist 171100000X AC00633 OR

Addresses

Primary practice location

4926 SE Woodstock Blvd
Portland, OR 97206-6163

Mailing address

4926 SE Woodstock Blvd
Portland, OR 97206-6163
Phone (503) 388-6715

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
AC00633ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Integrative Medicine, LLC CurrentSince Jul 1, 2022 Accepting new patients
Daniel E Beeson DC PC Acupuncturist PastSince Jul 1, 2022 Accepting new patients

Locations

7215 SE 13th Ave
Portland, OR 97202
Phone (503) 238-7025

4926 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 388-6715

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1649228636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 SE WOODSTOCK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066163",
            "telephone_number": "503-388-6715",
            "fax_number": "888-303-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 SE WOODSTOCK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066163",
            "telephone_number": "503-388-6715",
            "fax_number": "888-303-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSZKA",
        "first_name": "SHAWN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "N.D., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1333",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00633",
            "primary": false
        }
    ],
    "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 May 14, 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.

Verify at the official NPI Registry.