Kathleen Elizabeth King, LAC, PTA

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01174 Issued in OR

Practice address

1111 SW 10TH Ave
Portland, OR 97205-2411

Phone

(503) 294-7420

Fax

(503) 294-7411

NPI assigned

Jan 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kathleen E King LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1104076173
  NPD (past) Authorized official

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1013192517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SW 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052411",
            "telephone_number": "503-294-7420",
            "fax_number": "503-294-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SW 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052411",
            "telephone_number": "503-294-7420",
            "fax_number": "503-294-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LAC, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "7946",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L King, LAC, LMT
• Joanna Janira King
• Joanne Marie King
• Justine King
• Katherine Alexis King
• Katrina Elizabeth King, MS: CCC-SLP
• Kaylee Grace King, BCBA
• Kendall Jean King, RN
• Kimberlee King, MA, NCC
• Kristine K King, LMT, MLD/CDT

• 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 Sep 24, 2008; 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.