Lori Beth Stargrove, N.D.
Individual provider Active NPI Naturopath · Beaverton, OR
NPI 1215058482 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215058482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 753 (OR)
- Practice address
- 4720 SW Watson Ave
Beaverton, OR 97005-0511 - Phone
- (503) 526-0397
- Fax
- (503) 643-4633
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Wellspring of Natural Health | Naturopath | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 753 | OR | Yes |
Addresses
Primary practice location
4720 SW Watson Ave
Beaverton, OR 97005-0511
Mailing address
4720 SW Watson Ave
Beaverton, OR 97005-0511
Phone (503) 526-0397
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.