Individual provider Active NPI

Lam L Le, MD

  • Naturopath
  • Gresham, OR
National Provider Identifier
1245525328
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4710 Issued in OR
Practice address
25500 SE Stark St Ste 102
Gresham, OR 97030-8327
Phone
(503) 492-1327
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML 60225309 WA
Naturopath 175F00000X NT60809300 WA
Naturopath 175F00000X 4710 OR Primary

Addresses

Primary practice location

25500 SE Stark St Ste 102
Gresham, OR 97030-8327

Mailing address

2113 NW 17TH Ave
Camas, WA 98607-4101
Phone (503) 492-1327

Other practice location 1

100 E 33rd St
Suite 100
Vancouver, WA 98663-2776
Phone (360) 514-7550

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4710ORMDNaturopath
NT60809300WAMDNaturopath
ML 60225309WAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245525328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 NW 17TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986074101",
            "telephone_number": "503-492-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 SE STARK ST STE 102",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308327",
            "telephone_number": "503-492-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 33rd St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632776",
            "country_code": "US",
            "telephone_number": "360-514-7550",
            "fax_number": "360-514-7553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "LAM",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML 60225309",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60809300",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.