Active NPI
Harold J Maderazo, N.D.
- Naturopath
- Beaverton, OR
National Provider Identifier
1710139449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1104
- Practice address
- 9925 SW Nimbus Ave
Suite 100
Beaverton, OR 97008-7387 - Phone
- (503) 358-1013
- NPI assigned
- Oct 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1104 | OR | Primary |
Addresses
Primary practice location
9925 SW Nimbus Ave
Suite 100
Beaverton, OR 97008-7387
Mailing address
PO Box 22914
Milwaukie, OR 97269-2914
Phone (503) 358-1013
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 |
|---|---|---|---|
| 1104 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1710139449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22914",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972692914",
"telephone_number": "503-358-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 SW NIMBUS AVE",
"address_2": "SUITE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087387",
"telephone_number": "503-358-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADERAZO",
"first_name": "HAROLD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.