Healthcare Provider Details

I. General information

NPI: 1568839967
Provider Name (Legal Business Name): HEATHER NICHOLE LAMBERT N.D., L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICCI LAMBERT N.D., L.AC.

II. Dates (important events)

Enumeration Date: 09/01/2015
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 NE SANDY BLVD STE 231
PORTLAND OR
97232-2779
US

IV. Provider business mailing address

2427 SE 45TH AVE
PORTLAND OR
97206-1611
US

V. Phone/Fax

Practice location:
  • Phone: 503-701-8766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC164800
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number2024
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: