Lakshmi Susan Andersen, ND, LAC
Individual provider Active NPI Naturopath · Newport, OR
NPI 1598884124 · NPPES record last updated Aug 20, 2019
Key facts
- NPI
- 1598884124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 1218 (OR)
- Practice address
- 123 SE Douglas St Ste 2
Newport, OR 97365-4426 - Phone
- (541) 574-6000
- Fax
- (186) 640-5651
- NPI assigned
- Mar 28, 2007
- 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 |
|---|---|---|---|
| 1AC01125 | OR | MD | Acupuncturist |
| 1218 | OR | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1AC01125 | OR | |
| Naturopath | 175F00000X | 1218 | OR | Yes |
Addresses
Primary practice location
123 SE Douglas St Ste 2
Newport, OR 97365-4426
Mailing address
123 SE Douglas St Ste 2
Newport, OR 97365-4426
Phone (541) 574-6000
Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2019. 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.