Individual provider Active NPI

Julieta Arredondo, FNP

  • Family Nurse Practitioner
  • Lake Oswego, OR
National Provider Identifier
1942901673
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10005170 Issued in OR
Practice address
8 Centerpointe Dr Ste a
Lake Oswego, OR 97035-8668
Phone
(971) 348-6566
Fax
(833) 917-0357
NPI assigned
Mar 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10005170 OR Primary

Addresses

Primary practice location

8 Centerpointe Dr Ste a
Lake Oswego, OR 97035-8668

Mailing address

8 Centerpointe Dr Ste a
Lake Oswego, OR 97035-8668
Phone (971) 348-6566

Other practice location 1

1107 7th St Ste 105
Oregon City, OR 97045-2407
Phone (971) 348-6566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601001653 OR Practitioner - Nurse Practitioner 9537526876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10005170ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitale LLC CurrentSince Aug 3, 2025 Accepting new patients
Alive Health and Wellness, LLC CurrentSince Jan 19, 2025 Accepting new patients
Maxem Health Urgent Care Lake Oswego CurrentSince Apr 12, 2023 Accepting new patients

Locations

17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 387-3796

8 Centerpointe Dr
Ste A
Lake Oswego, OR 97035
Phone (971) 348-6566

15160 NW Laidlaw Rd
Ste 222
Portland, OR 97229
Phone (971) 294-9104

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1942901673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CENTERPOINTE DR STE A",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358668",
            "telephone_number": "971-348-6566",
            "fax_number": "833-917-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CENTERPOINTE DR STE A",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358668",
            "telephone_number": "971-348-6566",
            "fax_number": "833-917-0357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 7th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970452407",
            "country_code": "US",
            "telephone_number": "971-348-6566",
            "fax_number": "833-917-0357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "JULIETA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10005170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.