Reza Antoszewska, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

171265 Issued in MA

Practice address

1015 NW 22ND Ave
Legagacy - Good Samaritian - Integrative Cancer Care
Portland, OR 97210-3025

Phone

(503) 413-6535

Fax

(503) 413-8363

NPI assigned

Dec 14, 2006

Last updated

Jan 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1770645251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "address_2": "LEGAGACY - GOOD SAMARITIAN - INTEGRATIVE CANCER CARE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-6535",
            "fax_number": "503-413-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "address_2": "LEGAGACY - GOOD SAMARITIAN - INTEGRATIVE CANCER CARE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-6535",
            "fax_number": "503-413-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOSZEWSKA",
        "first_name": "REZA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "171265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Antoniskis, M.D.
• Melissa Rose Antonowicz
• Lindsay Antonsen
• Matthew Graham Antony, D.D.S.
• Megan Antosik, MS, RD, LD
• Michael Antoszewski, L.AC.
• Linda Anzalone, WHNP
• Veronica Aparicio
• Ryan A Apathy, MD
• Harry Apelbaum

• Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.