Mandala Acupuncture & Bodywork. LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MANDALA ACUPUNCTURE & BODYWORK. LLC

Practice address

925 NW Davis St
Portland, OR 97209-3103

Phone

(503) 341-6459

NPI assigned

Apr 9, 2013

Organization subpart

No

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

Authorized official

Name

Uma Tupper, LAC, LMT

Title

Owner

Phone

(503) 341-6459

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1013350065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 NW DAVIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093103",
            "telephone_number": "503-341-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NW DAVIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093103",
            "telephone_number": "503-341-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA ACUPUNCTURE & BODYWORK. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "TUPPER",
        "authorized_official_first_name": "UMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-341-6459",
        "authorized_official_credential": "LAC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith E. Manchio, FNP-BC
• Andrea Mancini, CNM
• Megan Mancini
• Morgan Mancini, LPN
• Victor R Mancuso, D.D.S., M.S.
• Mandala Medicine Acupuncture LLC
• Mandala Mental and Behavioral Health, LLC
• David Mandala
• Elizabeth Ann Mandel, PNP
• Samantha Allison Mandel, LPC

• 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 Apr 9, 2013; 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.