Provider Demographics
NPI:1316299159
Name:WARD-SELINGER, LAUREN (ND)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:WARD-SELINGER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:132 SW CROWELL WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1178
Mailing Address - Country:US
Mailing Address - Phone:503-974-4813
Mailing Address - Fax:503-662-7574
Practice Address - Street 1:132 SW CROWELL WAY STE 101
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1178
Practice Address - Country:US
Practice Address - Phone:503-974-4813
Practice Address - Fax:503-662-7574
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1903175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500654367Medicaid