Provider Demographics
NPI:1063664167
Name:SIECKMAN, ARLETTE K (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:ARLETTE
Middle Name:K
Last Name:SIECKMAN
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 1:13300 KNAUS RD
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-1542
Mailing Address - Country:US
Mailing Address - Phone:503-699-7199
Mailing Address - Fax:503-697-8174
Practice Address - Street 1:13300 KNAUS RD
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-1542
Practice Address - Country:US
Practice Address - Phone:503-699-7199
Practice Address - Fax:503-697-8174
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00079171100000X
OR0632175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist