Individual provider Active NPI

Meaghan Hall Woodruff-Dishman, ND, LAC, MSOM

  • Naturopath
  • Bend, OR
National Provider Identifier
1548381064
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1446 Issued in OR
Practice address
550 SW Industrial Way, Building 2
Suite 100
Bend, OR 97702
Phone
(541) 312-9838
Fax
(541) 312-9839
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 596 NC
Acupuncturist 171100000X AC00910 OR
Naturopath 175F00000X 1446 OR Primary

Addresses

Primary practice location

550 SW Industrial Way, Building 2
Suite 100
Bend, OR 97702

Mailing address

3313 NW Shevlin RDG
Bend, OR 97703-7752
Phone (919) 397-1012

Other practice location 1

1330 St. Mary's Street, Ste 360
Raleigh, NC 27605
Phone (919) 825-3888

Other practice location 2

550 SW Industrial Way, Building 2
Suite 100
Bend, OR 97702
Phone (541) 312-9838

Other names 1

  • Dr. Meaghan Hall Dishman Professional 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
AC00910ORMDAcupuncturist
1446ORMDPhysical Therapist
596NCMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1548381064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 NW SHEVLIN RDG",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037752",
            "telephone_number": "919-397-1012",
            "fax_number": "888-304-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SW INDUSTRIAL WAY, BUILDING 2",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-312-9838",
            "fax_number": "541-312-9839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 St. Mary's Street, Ste 360",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27605",
            "country_code": "US",
            "telephone_number": "919-825-3888",
            "fax_number": "888-304-9394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 SW Industrial Way, Building 2",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "97702",
            "country_code": "US",
            "telephone_number": "541-312-9838",
            "fax_number": "541-312-9839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRUFF-DISHMAN",
        "first_name": "MEAGHAN",
        "middle_name": "HALL",
        "name_prefix": "Mrs.",
        "credential": "ND, LAC, MSOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "596",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00910",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGHAN",
            "last_name": "DISHMAN",
            "middle_name": "HALL",
            "prefix": "DR.",
            "credential": "ND, LAC, MSOM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 11, 2019; 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.