Provider Demographics
NPI:1780825471
Name:BEIL, KURT (ND, LAC, MPH)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:
Last Name:BEIL
Suffix:
Gender:M
Credentials:ND, LAC, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6106 SE 50TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-6917
Mailing Address - Country:US
Mailing Address - Phone:914-362-8315
Mailing Address - Fax:
Practice Address - Street 1:6106 SE 50TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-6917
Practice Address - Country:US
Practice Address - Phone:914-362-8315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT669171100000X
ORAC150791171100000X
NY5723171100000X
CT562175F00000X
OR1520175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist