Heather Lilly, N.M.D.
Individual provider Active NPI Naturopath · Medford, OR
NPI 1760734677 · NPPES record last updated Jul 17, 2014
Key facts
- NPI
- 1760734677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 12-1325 (AZ)
- Practice address
- 1012 E. Jackson St.
Medford, OR 97504 - Phone
- (541) 770-5563
- Fax
- (541) 772-3028
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 12-1325 | AZ | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Creek Naturopathich Clinic | Naturopath | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 12-1325 | AZ | Yes |
Addresses
Primary practice location
1012 E. Jackson St.
Medford, OR 97504
Mailing address
1012 E. Jackson St.
Medford, OR 97504
Phone (541) 770-5563
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2014. 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.