Individual provider Active NPI

Victoria Lutskovsky, ND

  • Naturopath
  • Hillsboro, OR
National Provider Identifier
1508868522
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
985 Issued in OR
Practice address
245 SE 4TH Ave
Suite #E
Hillsboro, OR 97123-4033
Phone
(503) 844-6667
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 985 OR Primary

Addresses

Primary practice location

245 SE 4TH Ave
Suite #E
Hillsboro, OR 97123-4033

Mailing address

245 SE 4TH Ave
Suite #E
Hillsboro, OR 97123-4033
Phone (503) 844-6667

Other identifiers 2

IdentifierTypeStateIssuer
182953MedicaidOR
112837OtherKEIZER

Other names 1

  • Victoria Lutskovsky - Hasan Former name

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

LicenseStateTypeSpecialty
985ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Naturopathic Clinic LLC Naturopath Current Accepting new patients
Michele Bartlett ND, LLC Naturopath Past Accepting new patients

Locations

245 SE 4th Ave
Ste E
Hillsboro, OR 97123
Phone (503) 844-6667

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508868522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SE 4TH AVE",
            "address_2": "SUITE #E",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234033",
            "telephone_number": "503-844-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 SE 4TH AVE",
            "address_2": "SUITE #E",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234033",
            "telephone_number": "503-844-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTSKOVSKY",
        "first_name": "VICTORIA",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182953",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEIZER",
            "identifier": "112837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "LUTSKOVSKY - HASAN",
            "credential": "ND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.