Dr Justin Yohalem Ilsley, ND is a
Naturopath based in Portland, Oregon. Dr Justin Yohalem Ilsley is licensed to practice in Oregon (license number 1400) and his current practice location is
4631 N Albina Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 282-5358.
NPI number for Dr Justin Yohalem Ilsley is 1477666907 and his current mailing address is 8925 N Hodge Ave, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477666907.
Healthcare Provider's Profile
| Full Name | Dr Justin Yohalem Ilsley |
|---|
| Gender | Male |
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| Speciality | Naturopath |
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| Location | 4631 N Albina Ave, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477666907
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Justin Yohalem Ilsley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477666907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC00836 (Oregon) | Primary |
| 175F00000X | Naturopath | 1400 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Justin Yohalem Ilsley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Justin Yohalem Ilsley, ND
8925 N Hodge Ave,
Portland, OR 97203-3457
Ph: (503) 735-3777 | Dr Justin Yohalem Ilsley, ND
4631 N Albina Ave,
Portland, OR 97217-3011
Ph: (503) 282-5358 |
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