Active NPI
Glen Jarosz, N.D.
- Naturopath
- Tualatin, OR
National Provider Identifier
1780888305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1744
- Practice address
- 8555 SW Tualatin Rd
Tualatin, OR 97062-9425 - Phone
- (503) 691-0901
- Fax
- (503) 691-9018
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND-245 | CA | |
| Naturopath | 175F00000X | 1744 | OR | Primary |
Addresses
Primary practice location
8555 SW Tualatin Rd
Tualatin, OR 97062-9425
Mailing address
5703 SW 56TH Ave
Portland, OR 97221-1778
Phone (503) 539-4201
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 |
|---|---|---|---|
| ND-245 | CA | MD | Naturopath |
| 1744 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1780888305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5703 SW 56TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211778",
"telephone_number": "503-539-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8555 SW TUALATIN RD",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629425",
"telephone_number": "503-691-0901",
"fax_number": "503-691-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAROSZ",
"first_name": "GLEN",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-245",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.