Individual provider Active NPI

Susana Rosales Watson, ND

  • Naturopath
  • Lake Oswego, OR
National Provider Identifier
1932619384
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4111 Issued in OR
Practice address
14523 Westlake Dr Ste 8
Lake Oswego, OR 97035-7700
Phone
(503) 919-7575
Fax
(503) 607-8661
NPI assigned
Oct 11, 2017
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4111 OR Primary

Addresses

Primary practice location

14523 Westlake Dr Ste 8
Lake Oswego, OR 97035-7700

Mailing address

14523 Westlake Dr Ste 8
Lake Oswego, OR 97035-7700
Phone (503) 919-7575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Susana.Watson@129720125358084.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4111ORMDChiropractor

Interoperability endpoints

  • Direct secure messaging: susana.watson@129720125358084.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1932619384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14523 WESTLAKE DR STE 8",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357700",
            "telephone_number": "503-919-7575",
            "fax_number": "503-607-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14523 WESTLAKE DR STE 8",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357700",
            "telephone_number": "503-919-7575",
            "fax_number": "503-607-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SUSANA",
        "middle_name": "ROSALES",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susana.Watson@129720125358084.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "14535 Westlake Dr Ste B",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970357775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.