Individual provider Active NPI

Laurie Elizabeth Grisez, N.D.

  • Naturopath
  • Bend, OR
National Provider Identifier
1508947045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1438 Issued in OR
Practice address
365 NE Greenwood Ave Ste 3
Bend, OR 97701-4628
Phone
(541) 389-6935
Fax
(541) 388-4966
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1438 OR Primary

Addresses

Primary practice location

365 NE Greenwood Ave Ste 3
Bend, OR 97701-4628

Mailing address

365 NE Greenwood Ave Ste 3
Bend, OR 97701-4628
Phone (541) 389-6935

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
1438ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508947045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 NE GREENWOOD AVE STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014628",
            "telephone_number": "541-389-6935",
            "fax_number": "541-388-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 NE GREENWOOD AVE STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014628",
            "telephone_number": "541-389-6935",
            "fax_number": "541-388-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISEZ",
        "first_name": "LAURIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.