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

LicenseStateTypeSpecialty
1258ORMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 17, 2012.

{
    "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

All providers in Lake Oswego, OR · Naturopath in Oregon

Sources for this page

Verify at the official NPI Registry.