Susan Dane Saccomanno, ND, LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1527 Issued in OR

Practice address

506 SW 6TH Ave
Suite #801
Portland, OR 97204-1533

Phone

(503) 799-4663

Fax

(503) 914-1659

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Susan Saccomanno ND Lac Inc

  • Naturopath
  • Portland, OR
  • NPI 1043646599

  Acupuncturist

  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1679607782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 SE 48TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063231",
            "telephone_number": "503-799-4663",
            "fax_number": "503-914-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SW 6TH AVE",
            "address_2": "SUITE #801",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041533",
            "telephone_number": "503-799-4663",
            "fax_number": "503-914-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCOMANNO",
        "first_name": "SUSAN",
        "middle_name": "DANE",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01026",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabr RTH 3407 SE LLC
• Hatem Adel Sabry, M.D.
• Kelsey Sacane, LCSW, QMHP
• Taryn Sacchitella
• Sara Jane Sacco
• Emilie Sachs
• Fatima Sacirovic
• Robert Leroy Sack, MD
• Allen Sacker, MD
• Lisa Marie Sacker, LPC ASSOCIATE

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.