MEDICARE: DR. ARTHUR ANDRE SWANSON N.D., L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC00986	OR
2	175F00000X	Naturopath	1448	OR

General Provider Information

NPI Number	:	1093757114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR ANDRE SWANSON N.D., L.AC.

Provider Business Mailing Address
First Line	:	1020 SW TAYLOR ST
Second Line	:	SUITE 330
City	:	PORTLAND
State	:	OR
Zip	:	97205-2543
Country	:	US
Telephone Number	:	503-287-4970
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 SW TAYLOR ST
Second Line	:	SUITE 330
City	:	PORTLAND
State	:	OR
Zip	:	97205-2543
Country	:	US
Telephone Number	:	503-287-4970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	10/23/2014

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