Individual provider Active NPI

Gibran K Ramos, N.D., L.AC

  • Naturopath
  • Portland, OR
National Provider Identifier
1962735217
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1821 Issued in OR
Practice address
7477 SE 52ND Ave
Portland, OR 97206-8206
Phone
(503) 482-9092
Fax
(503) 715-5789
NPI assigned
Sep 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC150207 OR
Naturopath 175F00000X 1821 OR Primary

Addresses

Primary practice location

7477 SE 52ND Ave
Portland, OR 97206-8206

Mailing address

4110 SE Hawthorne Blvd # 178
Portland, OR 97214-5246
Phone (503) 482-9092

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

LicenseStateTypeSpecialty
AC150207ORMDAcupuncturist
1821ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Vitality Current Accepting new patients
Kwan Yin Healing Arts Center Acupuncturist Past Accepting new patients

Locations

4110 SE Hawthorne Blvd
Portland, OR 97214
Phone (503) 383-9350

3942 SE Hawthorne Blvd
Portland, OR 97214
Phone (503) 234-2070

Interoperability endpoints

  • Direct secure messaging: gibran.ramos.1@22190.direct.athenahealth.com
  • Direct secure messaging: gibran.ramos.1@29632.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1962735217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SE HAWTHORNE BLVD # 178",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145246",
            "telephone_number": "503-482-9092",
            "fax_number": "503-715-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 SE 52ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972068206",
            "telephone_number": "503-482-9092",
            "fax_number": "503-715-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "GIBRAN",
        "middle_name": "K",
        "credential": "N.D., L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150207",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.