Individual provider · Type 1 NPI

Jacqueline Eliesa Stivers, ND LAC

Naturopath · Portland, OR

NPI number 1205301975 Active

Practice location

2318 NE Mlk Jr Blvd
Portland, OR 97212-3715

Call (503) 335-8611 Map

Mailing address

2318 NE Martin Luther King Jr Blvd
Portland, OR 97212-3715

Other practice locations

  • 221 SE 11th Ave Ste 226, Portland, OR 97214 · (971) 279-4454

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Acupuncturist 171100000XAC190894 (OR)
General Practice Physician 208D00000X4216 (OR)
Naturopath Primary 175F00000X4216 (OR)

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, naturopath…

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About NPI 1205301975

Jacqueline Eliesa Stivers, ND LAC's National Provider Identifier is 1205301975, issued on Oct 9, 2018. The primary taxonomy on file is Naturopath (175F00000X), and the practice location is in Portland, OR. The record was last updated on Jun 1, 2020.