Alter Image, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ALTER IMAGE, INC.

Practice address

2340 SE Gladstone St
Portland, OR 97202-2962

Phone

(503) 267-3166

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Eva B Kozlowski, LE, CPENPI 1649889957

Title

Owner

Phone

(503) 267-3166

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eva B Kozlowski, LE, CPE

  • Specialist
  • Portland, OR
  • NPI 1649889957
  NPD Authorized official

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1679199335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SE CLATSOP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972060716",
            "telephone_number": "503-267-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SE GLADSTONE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022962",
            "telephone_number": "503-267-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTER IMAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "KOZLOWSKI",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-267-3166",
        "authorized_official_credential": "LE, CPE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Altea Medical Oregon LLC
• Amy Altenberger, MA, LPC
• Steffanie Altenbern, CSWA
• Christopher James Altenhofen, MD
• Teri Altenhofen
• Bruce Alter, PT
• Carolyn Alter, PT
• Michael Aharon Alter, LCSW
• Alternative Health Care & Chiropractic Inc.
• Alternative Medical Choices

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.