Tina Dreisbach, PH.D., N.D. L.AC.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4166 Issued in OR

Practice address

650 SW 3Rd St
Corvallis, OR 97333-4437

Phone

(541) 602-0260

NPI assigned

Nov 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Viriditas Naturopathic Medicine, PLLC

  • Naturopath
  • Stevenson, WA
  • NPI 1023350055
  NPD (past)

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1306388095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SW 3RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334437",
            "telephone_number": "541-602-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SW 3RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334437",
            "telephone_number": "541-602-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 SW Russell Ave",
            "address_purpose": "LOCATION",
            "city": "Stevenson",
            "state": "WA",
            "postal_code": "986489198",
            "country_code": "US",
            "telephone_number": "509-427-3624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREISBACH",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "PH.D., N.D. L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC189838",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60805981",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 60703113",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Leslie Beth Berman P.C.
• Karlei Forrester Drahn
• Audrey Drake, NP
• Marie Louise Drakes, RN
• Jordan Draper
• Holly Sue Drexler
• Jennifer Brenne Dubois, B.S.
• Juva Duboise, LPC
• Brandon D Ducharme, QMHA-C
• Amanda Duck

• All providers in Corvallis, OR
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.