Daniel Raider, Acupuncturist LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

DANIEL RAIDER, ACUPUNCTURIST LLC

Practice address

2330 NW Flanders St Ste 101
Portland, OR 97210-3400

Phone

(503) 314-1878

NPI assigned

Dec 11, 2018

Organization subpart

Yes

Parent organization

DANIEL RAIDER, ACUPUNCTURIST LLCAs reported in NPPES

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

Authorized official

Name

Mr. Daniel Raider, MA.O.M, L.AC.

Title

Acupuncturist

Phone

(503) 314-1878

Specialties & licenses 1

Addresses

Other names 1

• FullStride Acupuncture Doing business as

Part of

Daniel Raider Acupuncturist LLC

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1003387390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103400",
            "telephone_number": "503-314-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103400",
            "telephone_number": "503-314-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 NE Multnomah St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972324104",
            "country_code": "US",
            "telephone_number": "503-314-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL RAIDER, ACUPUNCTURIST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL RAIDER,  ACUPUNCTURIST LLC",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "RAIDER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-314-1878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA.O.M,  L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FullStride Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel E Beeson DC PC
• Daniel G Stinea LLC
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• Daniel Hofmann Counseling, LLC
• Daniel J. Urbach, MD, PC
• Austin Tyler Daniel, LMT
• David Enoch Daniel, B.A.
• Jolly Daniel, FNP
• Jonathan C Daniel, MD
• Kayli Grace Daniel

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.