ELIZABETH SPAGAT WALLACE (NPI# 1932220225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932220225 |
| Entity Type | Individual |
| Full Name | ELIZABETH SPAGAT WALLACE |
| Other Name | ELIZABETH SPAGAT |
| Credential | ND,LAC |
| Practice Address |
2024 Se Clinton St. Portland OR 97202 |
| Practice Telephone | 5032421212 |
| Practice Fax Number | 5032367637 |
| Mailing Telephone | 5032421212 |
| Mailing Fax Number | 5032367637 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 0020610 | OR | Other Service Providers |
| Y | 175F00000X | Naturopath | 1283 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083017206 | Elizabeth Wallace | Physical Therapist | 1004 Oakgrove Dr, Knightdale, NC 27545-9295 | 2014-10-01 |
| 1104033513 | Elizabeth Wallace | Speech-Language Pathologist | 8215 Westchester Drive, Suite 234, Dallas, TX 75225-6103 | 2007-05-16 |
| 1609381896 | Elizabeth Wallace | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-12-10 |
| 1881109320 | Elizabeth Wallace | Counselor | 5665 Hoover Rd, Grove City, OH 43123-9122 | 2017-12-06 |
| 1982159356 | Elizabeth Ann Wallace | Nurse Practitioner | 1422 Old Weisgarber Rd, Knoxville, TN 37909 | 2016-08-16 |
| 1275902462 | Elizabeth Wallace | Counselor | 111 W Anderson Ln, Suite D197, Austin, TX 78752-1132 | 2015-09-18 |
| 1912302423 | Elizabeth Wallace | Social Worker | 13207 Wright Rd, Buda, TX 78610-5000 | 2014-10-27 |
| 1649687799 | Elizabeth A Wallace | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2014-07-21 |
| 1942617626 | Elizabeth Wallace | Social Worker | 2400 White Ave, Nashville, TN 37204-2235 | 2014-07-15 |
| 1427478593 | Elizabeth Wallace | Emergency Medicine | 1 Boston Medical Ctr Pl, Dowling 1, Boston, MA 02118-2908 | 2014-04-16 |
| Street Address |
2024 SE CLINTON ST. |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070066 | Jennifer Ann Hampton | Naturopath | 8375 Sw Beaverton Hillsdale Hwy Ste A, Portland, OR 97225-2252 | 2020-10-16 |
| 1376140160 | Casey Rae Rohrbeck | Naturopath | 5020 Ne 32nd Ave Apt 4, Portland, OR 97211-6960 | 2020-10-05 |
| 1366049314 | Jenna Halbert | Naturopath | 333 Ne Russell St Ste 207, Portland, OR 97212-3763 | 2020-10-02 |
| 1679189252 | Hannah Rikoon | Naturopath | 49 S Porter St, Portland, OR 97201-4873 | 2020-09-19 |
| 1710593306 | Charlotte Nowack | Naturopath | 5331 S Macadam Ave Ste 380, Portland, OR 97239-3879 | 2020-09-18 |
| 1043824964 | Pc Health, LLC | Naturopath | 6519 N Vancouver Ave Apt C, Portland, OR 97217-1954 | 2020-09-08 |
| 1821602673 | Stephanie Joy Vickers | Naturopath | 4510 Sw Valona Way, Portland, OR 97219-6827 | 2020-08-31 |
| 1700496957 | Dr. Karen Cureton Nd, Lac | Naturopath | 4818 Se Naef Rd, Portland, OR 97267-4037 | 2020-08-03 |
| 1679182992 | Andrew Wojciechowski | Naturopath | 2701 Nw Vaughn St Ste 424, Portland, OR 97210-5362 | 2020-07-23 |
| 1568082972 | Tristian Rowe | Naturopath | 8407 Sw 35th Ave, Portland, OR 97219-3831 | 2020-04-26 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.