Active NPI
Dave Allderdice, ND
- Naturopath
- Lake Oswego, OR
National Provider Identifier
1043594518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1828
- Practice address
- 320 Oswego Pointe Dr
Lake Oswego, OR 97034-3228 - Phone
- (503) 636-2734
- NPI assigned
- Oct 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1828 | OR | Primary |
Addresses
Primary practice location
320 Oswego Pointe Dr
Lake Oswego, OR 97034-3228
Mailing address
320 Oswego Pointe Dr
Lake Oswego, OR 97034-3228
Phone (503) 636-2734
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1828 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Traditional Medicine, P.C. | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Naturopath
- Lake Oswego, OR
- NPI 1194156448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1043594518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 OSWEGO POINTE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343228",
"telephone_number": "503-636-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 OSWEGO POINTE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343228",
"telephone_number": "503-636-2734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLDERDICE",
"first_name": "DAVE",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.