Andrea Lea Premazzi, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1636 Issued in OR

Practice address

121N Broadway St
NW Center for Natural Medicine
Estacada, OR 97023

Phone

(503) 630-6288

Fax

(503) 630-2245

NPI assigned

Oct 14, 2008

Last updated

Oct 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1700038403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2669",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970232669",
            "telephone_number": "503-630-6288",
            "fax_number": "503-630-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121N BROADWAY ST",
            "address_2": "NW CENTER FOR NATURAL MEDICINE",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "97023",
            "telephone_number": "503-630-6288",
            "fax_number": "503-630-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMAZZI",
        "first_name": "ANDREA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.