Krista Jean Anderson-Ross, N.D.
Individual provider Active NPI Naturopath · Lake Oswego, OR
NPI 1598089435 · NPPES record last updated Feb 17, 2012
Key facts
- NPI
- 1598089435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 1258 (OR)
- Practice address
- 1637 Laurel St
Lake Oswego, OR 97034-4755 - Phone
- (503) 804-0133
- Fax
- (503) 594-1114
- NPI assigned
- Mar 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1258 | OR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1258 | OR | Yes |
Addresses
Primary practice location
1637 Laurel St
Lake Oswego, OR 97034-4755
Mailing address
2231 5TH Ave
West Linn, OR 97068-4753
Phone (503) 722-5658
NPI Registry JSON
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1598089435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 5TH AVE",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684753",
"telephone_number": "503-722-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1637 LAUREL ST",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970344755",
"telephone_number": "503-804-0133",
"fax_number": "503-594-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON-ROSS",
"first_name": "KRISTA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.