Organization Active NPI

Pluck Girl

  • Specialist
  • Portland, OR
National Provider Identifier
1003360132
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BAP-E-10174041 Issued in OR
Legal business name
PLUCK GIRL
Practice address
2207 NE Broadway St
Ste 123
Portland, OR 97232-1693
Phone
(503) 914-7890
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lana Blue Zeitler, LENPI 1376097709
Title
Electrolysis
Phone
(530) 914-7890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X BAP-E-10174041 OR Primary

Addresses

Primary practice location

2207 NE Broadway St
Ste 123
Portland, OR 97232-1693

Mailing address

2207 NE Broadway St
Ste 123
Portland, OR 97232-1693
Phone (503) 914-7890

Other identifiers 1

IdentifierTypeStateIssuer
BLUE1024OtherORPLUCKY GIRL LLC

National Provider Directory

National Provider Directory

Locations

2207 NE Broadway St
Ste 123
Portland, OR 97232
Phone (503) 914-7890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1003360132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 NE BROADWAY ST",
            "address_2": "STE 123",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321693",
            "telephone_number": "503-914-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 NE BROADWAY ST",
            "address_2": "STE 123",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321693",
            "telephone_number": "503-914-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUCK GIRL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "ZEITLER",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "BLUE",
        "authorized_official_title_or_position": "ELECTROLYSIS",
        "authorized_official_telephone_number": "530-914-7890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "BAP-E-10174041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLUCKY GIRL LLC",
            "identifier": "BLUE1024",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.