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NPI Code Detail

MEDICARE: DR. SHAWN SCOTT SOSZKA N.D., L.AC.

MEDICARE:  DR. SHAWN SCOTT SOSZKA  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
1175F00000XNaturopath1333OR
2171100000XAcupuncturistAC00633OR

General Provider Information

NPI Number : 1649228636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN SCOTT SOSZKA N.D., L.AC.
Provider Business Mailing Address
First Line : 4926 SE WOODSTOCK BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-6163
Country : US
Telephone Number : 503-388-6715
Fax Number : 888-303-5652
Provider Business Practice Location Address
First Line : 4926 SE WOODSTOCK BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-6163
Country : US
Telephone Number : 503-388-6715
Fax Number : 888-303-5652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 05/14/2025

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Directions to “ DR. SHAWN SCOTT SOSZKA N.D., L.AC.” Practice Location

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