Provider Demographics
NPI:1841310521
Name:MYERS, SHEILA MARGUERITA (ND, LAC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARGUERITA
Last Name:MYERS
Suffix:
Gender:F
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 1:1900 NE 3RD ST
Mailing Address - Street 2:SUITE 106-346
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-3854
Mailing Address - Country:US
Mailing Address - Phone:541-385-6249
Mailing Address - Fax:541-383-4152
Practice Address - Street 1:390 NE EMERSON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4900
Practice Address - Country:US
Practice Address - Phone:541-385-6249
Practice Address - Fax:541-383-4152
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00201171100000X
OR751175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath