Nora Grod Lac LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC140945 Issued in OR

Legal business name

NORA GROD LAC LLC

Practice address

1235 SE Division St
Ste 106a
Portland, OR 97202-1042

Phone

(503) 893-9289

Fax

(503) 238-5128

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Nora Grod, LACNPI 1336379833

Title

Owner

Phone

(503) 893-9289

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bow & Arrow Eastern Medicine Doing business as

Locations

Practitioners 1

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

• Nora Grod, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1336379833
  NPD (past) Authorized official

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1013260868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST",
            "address_2": "STE 106A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021042",
            "telephone_number": "503-893-9289",
            "fax_number": "503-238-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST",
            "address_2": "STE 106A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021042",
            "telephone_number": "503-893-9289",
            "fax_number": "503-238-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA GROD LAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "GROD",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-893-9289",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC140945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500669452",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bow & Arrow Eastern Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Malala Noraddin
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• Tyler James Norasingh
• Janna Norberg
• Lydia Norby-Adams, ND

• 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 May 10, 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.

Verify at the official NPI Registry.