Dr Jacqueline Eliesa Stivers, ND LAC is a
Naturopath based in Portland, Oregon. Dr Jacqueline Eliesa Stivers is licensed to practice in Oregon (license number 4216) and her current practice location is
2318 Ne Mlk Jr Blvd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 335-8611.
NPI number for Dr Jacqueline Eliesa Stivers is 1205301975 and her current mailing address is 2318 Ne Martin Luther King Jr Blvd, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205301975.
Healthcare Provider's Profile
| Full Name | Dr Jacqueline Eliesa Stivers |
|---|
| Gender | Female |
|---|
| Speciality | Naturopath |
|---|
| Location | 2318 Ne Mlk Jr Blvd, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205301975
- Provider Enumeration Date: 10/09/2018
- Last Update Date: 06/01/2020
Medical Identifiers
Medical identifiers for Dr Jacqueline Eliesa Stivers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205301975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Secondary |
| 171100000X | Acupuncturist | AC190894 (Oregon) | Secondary |
| 208D00000X | General Practice | 4216 (Oregon) | Secondary |
| 175F00000X | Naturopath | 4216 (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 Jacqueline Eliesa Stivers 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 Jacqueline Eliesa Stivers, ND LAC
2318 Ne Martin Luther King Jr Blvd,
Portland, OR 97212-3715
Ph: (503) 539-6832 | Dr Jacqueline Eliesa Stivers, ND LAC
2318 Ne Mlk Jr Blvd,
Portland, OR 97212-3715
Ph: (503) 335-8611 |
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