Roxanne Hetty Ahmadpour, ND, MS
Individual provider Active NPI Naturopath · Portland, OR
NPI 1720629207 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1720629207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 4265 (OR)
- Practice address
- 1835 SE 50TH Ave
Portland, OR 97215-3235 - Phone
- (971) 803-5643
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4265 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krista Tricarico, ND, PC | Naturopath | Past |
Accepting new patients |
| Hive Mind Medicine, Inc | Naturopath | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 4265 | OR | Yes |
Addresses
Primary practice location
1835 SE 50TH Ave
Portland, OR 97215-3235
Mailing address
1835 SE 50TH Ave
Portland, OR 97215-3235
Phone (971) 803-5643
Other practice location 1
7005 NE Glisan St Ste B
Portland, OR 97213-5517
Phone (503) 593-8900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CharmEHR | Direct |
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.