Healthcare Provider Details

I. General information

NPI: 1720978505
Provider Name (Legal Business Name): ALDER COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W MAIN ST
ENTERPRISE OR
97828-1241
US

IV. Provider business mailing address

119 W MAIN ST
ENTERPRISE OR
97828-1241
US

V. Phone/Fax

Practice location:
  • Phone: 541-263-8738
  • Fax: 949-695-3979
Mailing address:
  • Phone: 541-419-0305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: RACHAEL KARLIN
Title or Position: AUTHORIZED OFFICIAL
Credential: ND
Phone: 541-419-0305