# DR LISA SHAVER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285396275
- **Authorized official:** DR. LISA LOUISE SHAVER ND, LAC (OWNER)
- **Authorized official phone:** (971) 432-6122

## Contact information

- **Practice address:** 1210 SE OAK ST STE 2, PORTLAND, OR 97214-1427
- **Practice address phone:** (971) 432-6122
- **Practice address fax:** (877) 862-6906
- **Mailing address:** 1210 SE OAK ST STE 2, PORTLAND, OR 97214-1427
- **Mailing address phone:** (971) 432-6122
- **Mailing address fax:** (877) 862-6906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 175F00000X | Naturopath | — | NULL | Yes |
| 175F00000X | Naturopath | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2021
- **Last updated:** 10/07/2021