Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447893748 Individual Practitioner Female Practitioner

Dr. Mariya Sulakov , ND

Naturopath • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Mariya Sulakov, ND is a registered healthcare professional specializing in Naturopath in Gresham, OR. Practice services are available at 25500 SE STARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25500 Se Stark St
St 202

Gresham, OR 970302441

Telephone 5034895917
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Naturopath in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Gresham, OR (1197 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-13
Naturopath Primary Specialty

NUCC Taxonomy Code: 175F00000X

State License OR 4264

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1003135088

Doctor of Naturopathic Medicine

Alissa Cameron , PT

Physical Therapist

NPI 1205068947

Physical Therapist

Karen Bartling , PT

Physical Therapist

NPI 1265840466

Physical Therapist

Glen Akers , PT

Physical Therapist

NPI 1477519874

Physical Therapist

Laura Maatta , MA QMHP LPC

Counselor - Mental Health

NPI 1578613790

MAQMHPLPC

NPI 1659746097

Doctor of Naturopathic Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 13, 2022

Registered at 25500 SE STARK ST, ST 202, GRESHAM, OR 970302441 (Tel: 5034895917)

📍
Updated Business Mailing Address December 13, 2022

Registered at 25500 SE STARK ST, ST 202, GRESHAM, OR 970303331 (Tel: 5034895917)

📍
Updated Practice Location February 06, 2020

Registered at 500 NW 20TH ST, ST 101, GRESHAM, OR 970302441 (Tel: 5034895917)

📍
Updated Business Mailing Address February 06, 2020

Registered at 500 NW 20TH ST, ST 101, GRESHAM, OR 970307314 (Tel: 5034895917)

NPI Profile Active October 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2019

Registered at 4850 SW 11TH ST APT 133, GRESHAM, OR 970807314 (Tel: 5039295481)

📍
Updated Business Mailing Address October 20, 2019

Registered at 4850 SW 11TH ST APT 133, GRESHAM, OR 970807314 (Tel: 5039295481)

👤
Provider Name / Credentials Updated October 20, 2019

Recorded as MARIYA SULAKOV, ND

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2019

Naturopath (License #4264 in OR)

🟢
Initial NPI Registration & Enumeration October 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447893748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2019
Last Update: December 13, 2022
Sole Proprietor: Yes

Mailing Address

25500 Se Stark St, St 202

Gresham, OR 970303331

Phone: 5034895917

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.