Active NPI
Lam L Le, MD
- Naturopath
- Gresham, OR
National Provider Identifier
1245525328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4710 | OR | MD | Naturopath |
| NT60809300 | WA | MD | Naturopath |
| ML 60225309 | WA | MD | Family 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.