Healthcare Provider Details

I. General information

NPI: 1316259120
Provider Name (Legal Business Name): MEGAN ELIZABETH USHER ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN ELIZABETH NULL ND

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15875 SW 72ND AVE
PORTLAND OR
97224-7913
US

IV. Provider business mailing address

15875 SW 72ND AVE
PORTLAND OR
97224-7913
US

V. Phone/Fax

Practice location:
  • Phone: 503-855-4341
  • Fax: 833-955-3574
Mailing address:
  • Phone: 503-855-4341
  • Fax: 833-955-3574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number2003
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: