Provider Demographics
NPI:1164972774
Name:REEVE, LUCY-KATE LORRAINE (ND)
Entity Type:Individual
Prefix:DR
First Name:LUCY-KATE
Middle Name:LORRAINE
Last Name:REEVE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 N MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-3130
Mailing Address - Country:US
Mailing Address - Phone:503-459-2584
Mailing Address - Fax:503-719-8244
Practice Address - Street 1:4115 N MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-3130
Practice Address - Country:US
Practice Address - Phone:503-459-2584
Practice Address - Fax:503-719-8244
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4029175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath