MEDICARE: DR. ERIKA SIEGEL ND LAC

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	AC00888	OR
2	175F00000X	Naturopath	ND27552
3	171100000X	Acupuncturist	39357

General Provider Information

NPI Number	:	1467565895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIKA SIEGEL ND LAC

Provider Business Mailing Address
First Line	:	8190 SW CANYON LN
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-3922
Country	:	US
Telephone Number	:	503-341-7691
Fax Number	:	338-292-6390

Provider Business Practice Location Address
First Line	:	8190 SW CANYON LN
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-3922
Country	:	US
Telephone Number	:	503-341-7691
Fax Number	:	833-292-6390

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	02/24/2021

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