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1750454971 NPI number — LAURA SCHNEIDER MARTELL ND, LAC

NPI Number: 1750454971
Health Care Provider/Practitioner: LAURA SCHNEIDER MARTELL ND, LAC

Information about “1750454971” NPI (LAURA SCHNEIDER MARTELL ND, LAC) exists in 1750454971 in HTML format HTML  |  1750454971 in plain Text format TXT  |  1750454971 in PDF (Portable Document Format) PDF  |  1750454971 in an XML format XML  formats.

NPI Number : 1750454971 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750454971",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTELL",
    "FirstName": "LAURA",
    "MiddleName": "SCHNEIDER",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "ND, LAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTELL",
    "OtherFirstName": "LAURA",
    "OtherMiddleName": "SCHNEIDER",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "ND, LAC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2507 NW ARNOTT LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97229-1171",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-502-2966",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9155 SW BARNES RD STE 238",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97225-6629",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-216-0246",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/16/2006",
    "LastUpdateDate": "04/19/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "0821",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC00578",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175F00000X",
          "TaxonomyName": "Naturopath",
          "LicenseNumber": "12-1315",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175F00000X",
          "TaxonomyName": "Naturopath",
          "LicenseNumber": "1003",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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