Individual provider Active NPI

Electra L Allenton, ND, LAC

  • Naturopath
  • Portland, OR
National Provider Identifier
1962944744
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4064 Issued in OR
Practice address
2301 NW Thurman St.
Suite S
Portland, OR 97210-2581
Phone
(503) 459-9596
Fax
(888) 528-4439
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC180420 OR
Naturopath 175F00000X 4064 OR Primary

Addresses

Primary practice location

2301 NW Thurman St.
Suite S
Portland, OR 97210-2581

Mailing address

2301 NW Thurman St.
Suite S
Portland, OR 97210-2581
Phone (503) 459-9596

Other practice location 1

3115 NE Sandy Blvd Ste 231
Portland, OR 97232
Phone (503) 701-8766

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
AC180420ORMDAcupuncturist
4064ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1962944744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NW THURMAN ST.",
            "address_2": "SUITE S",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102581",
            "telephone_number": "503-459-9596",
            "fax_number": "888-528-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NW THURMAN ST.",
            "address_2": "SUITE S",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102581",
            "telephone_number": "503-459-9596",
            "fax_number": "888-528-4439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 NE Sandy Blvd Ste 231",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97232",
            "country_code": "US",
            "telephone_number": "503-701-8766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLENTON",
        "first_name": "ELECTRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC180420",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4064",
            "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 Oct 28, 2020; 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.