Individual provider Active NPI

Agustin Fernandez Alonso, DC

  • Chiropractor
  • Tigard, OR
National Provider Identifier
1811839475
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6508 Issued in OR
Practice address
12720 SW Pacific Hwy Ste 1
Tigard, OR 97223-6125
Phone
(506) 444-1089
Fax
(503) 296-2703
NPI assigned
Apr 6, 2026
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6508 OR Primary

Addresses

Primary practice location

12720 SW Pacific Hwy Ste 1
Tigard, OR 97223-6125

Mailing address

12720 SW Pacific Hwy Ste 1
Tigard, OR 97223-6125
Phone (503) 444-1089

Other practice location 1

10735 SE Stark St Ste 100
Portland, OR 97216-2765
Phone (971) 346-3313

Other practice location 2

2251 SE Tualatin Valley Hwy
Hillsboro, OR 97123-7975
Phone (503) 648-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260424002083 OR Practitioner - Chiropractic 9931676145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2251 SE Tualatin Valley Hwy
Hillsboro, OR 97123-7975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6508ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Corazon Chiropractic Clinic, LLC Chiropractor CurrentSince Apr 7, 2026 Accepting new patients
Corazon Chiropractic Clinic, LLC Chiropractor PastSince Apr 7, 2026 Accepting new patients

Locations

2251 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (503) 648-4357

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1811839475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 SW PACIFIC HWY STE 1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236125",
            "telephone_number": "503-444-1089",
            "fax_number": "503-296-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 SW PACIFIC HWY STE 1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236125",
            "telephone_number": "506-444-1089",
            "fax_number": "503-296-2703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10735 SE Stark St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162765",
            "country_code": "US",
            "telephone_number": "971-346-3313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2251 SE Tualatin Valley Hwy",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971237975",
            "country_code": "US",
            "telephone_number": "503-648-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ ALONSO",
        "first_name": "AGUSTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.