Provider Demographics
NPI:1750454971
Name:MARTELL, LAURA SCHNEIDER (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:SCHNEIDER
Last Name:MARTELL
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:SCHNEIDER
Other - Last Name:MARTELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:2507 NW ARNOTT LN
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-1171
Mailing Address - Country:US
Mailing Address - Phone:503-502-2966
Mailing Address - Fax:
Practice Address - Street 1:9155 SW BARNES RD STE 238
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6629
Practice Address - Country:US
Practice Address - Phone:503-216-0246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0821171100000X
ORAC00578171100000X
AZ12-1315175F00000X
OR1003175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist