Individual provider Active NPI

Margaret Gertrude Enloe, L.AC.

  • Acupuncturist
  • Lake Oswego, OR
National Provider Identifier
1083059059
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC162042 Issued in OR
Practice address
15962 Boones Ferry Rd
Suite 202
Lake Oswego, OR 97035-4351
Phone
(503) 860-2372
NPI assigned
May 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC162042 OR Primary

Addresses

Primary practice location

15962 Boones Ferry Rd
Suite 202
Lake Oswego, OR 97035-4351

Mailing address

15962 Boones Ferry Rd
Suite 202
Lake Oswego, OR 97035-4351
Phone (503) 860-2372

Other names 1

  • Trudy Enloe Other name

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
AC162042ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1367712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1083059059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15962 BOONES FERRY RD",
            "address_2": "SUITE 202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354351",
            "telephone_number": "503-860-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15962 BOONES FERRY RD",
            "address_2": "SUITE 202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354351",
            "telephone_number": "503-860-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOE",
        "first_name": "MARGARET",
        "middle_name": "GERTRUDE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-05",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC162042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUDY",
            "last_name": "ENLOE",
            "credential": "L.AC., M.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 16, 2014; 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.