Provider Demographics
NPI:1992049902
Name:TREADWELL, AMALIA BETH OSTER (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:AMALIA
Middle Name:BETH OSTER
Last Name:TREADWELL
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:DR
Other - First Name:AMALIA
Other - Middle Name:BETH
Other - Last Name:OSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:3115 NE SANDY BLVD
Mailing Address - Street 2:SUITE 231
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2776
Mailing Address - Country:US
Mailing Address - Phone:503-701-8766
Mailing Address - Fax:
Practice Address - Street 1:3115 NE SANDY BLVD
Practice Address - Street 2:SUITE 231
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2776
Practice Address - Country:US
Practice Address - Phone:503-701-8766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC159603171100000X
OR1938175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist