Active NPI
Felicity Michelle Woebkenberg, MACOM, LAC, RN, BSN
- Acupuncturist
- Tualatin, OR
National Provider Identifier
1003150236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC157441
- Practice address
- 5916 SW Nyberg LN
East
Tualatin, OR 97062-9750 - Phone
- (503) 692-4934
- NPI assigned
- Nov 9, 2012
- Last updated
- Mar 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC157441 | OR | Primary |
Addresses
Primary practice location
5916 SW Nyberg LN
East
Tualatin, OR 97062-9750
Mailing address
18957 Terry Ave
Lake Oswego, OR 97035-7956
Phone (503) 407-0686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC157441 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Past | Accepting new patients | |
| Project Quest | Acupuncturist | Past | Accepting new patients |
| Therapeutic Associates Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Quest Center for Integrative health
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
- NPI 1144250168
Acupuncturist
-
dba TAI Tualutin Physical Therapy
- Physical Therapist
- Tualatin, OR
- NPI 1295711646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1003150236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18957 TERRY AVE",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357956",
"telephone_number": "503-407-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5916 SW NYBERG LN",
"address_2": "EAST",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629750",
"telephone_number": "503-692-4934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOEBKENBERG",
"first_name": "FELICITY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MACOM, LAC, RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-09",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC157441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.