Susan Saccomanno ND Lac Inc

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1527 Issued in OR

Legal business name

SUSAN SACCOMANNO ND LAC INC

Practice address

833 SW 11TH Ave
Suite #1018
Portland, OR 97205-2125

Phone

(503) 224-2525

NPI assigned

Sep 16, 2013

Organization subpart

Yes

Parent organization

SUSAN SACCOMANNO ND LACAs reported in NPPES

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

Authorized official

Name

Dr. Susan Saccomanno, NDNPI 1679607782

Title

Naturopath

Phone

(503) 799-4663

Specialties & licenses 2

Addresses

Part of

Susan Saccomanno ND Lac Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Dane Saccomanno, ND, LAC

  • Naturopath
  • Portland, OR
  • NPI 1679607782

  Acupuncturist

  NPD (past) Authorized official

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1043646599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 SE 48TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063231",
            "telephone_number": "503-224-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "SUITE #1018",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052125",
            "telephone_number": "503-224-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN SACCOMANNO ND LAC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSAN SACCOMANNO ND LAC",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "SACCOMANNO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "NATUROPATH",
        "authorized_official_telephone_number": "503-799-4663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01026",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cezanne Surratt
• Manar Surur
• Laisvune Survilaite
• Susan B Merrick, LCSW, DCSW, LLC
• Susan Johnson, MD LLC
• Susan Strom, DC, PC
• Susannah Castle PSYD LLC
• Alex Susbauer, LMT, BCSI (CM)
• Malia Susee, L.AC, MACOM, DIPL.OM
• Ricci Jean Susick, P.T.

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.