Individual ProviderKellie J RaydonNaturopathOther Service ProvidersPractice Address2067 NW Lovejoy St, Portland, OR 97209-1515(503) 222-2322PECOS EnrollmentBased on the most recent information from CMS, provider Kellie J Raydon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487893582Provider TypeIndividualFull NameRaydon, Kellie JCredentialN.D., L.AC.GenderFemaleSole ProprietorNoEnumeration Date2/12/2009Last Updated3/26/2013Contact InformationPractice LocationPractice Address2067 NW Lovejoy St, Portland, OR 97209-1515Phone(503) 222-2322FaxUnlisted FaxMailing LocationMailing Address2067 NW Lovejoy St, Portland, OR 97209-1515Phone(503) 222-2322FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode175F00000XPrimaryDescriptionNaturopathOther Service ProvidersLicenseOR1641OregonCode171100000XDescriptionAcupuncturistOther Service ProvidersLicense63233Oregon