Provider Demographics
NPI:1841224615
Name:NIGH, GREGORY LYNN (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:LYNN
Last Name:NIGH
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 SE MADISON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-3890
Mailing Address - Country:US
Mailing Address - Phone:503-719-4806
Mailing Address - Fax:503-719-4357
Practice Address - Street 1:1221 SE MADISON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-3890
Practice Address - Country:US
Practice Address - Phone:503-719-4806
Practice Address - Fax:503-719-4357
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00642171100000X
OR1143175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist