Active NPI
Margaret Gertrude Enloe, L.AC.
- Acupuncturist
- Lake Oswego, OR
National Provider Identifier
1083059059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC162042
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| AC162042 | OR | MD | Acupuncturist |
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.