Kristin Vera Brink, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

156229 Issued in OR

Practice address

6011 SE Gladstone St
Portland, OR 97206-3752

Phone

(310) 773-6649

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Acupuncture Center of Portland East LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1770158354
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1023352010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 SE GLADSTONE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063752",
            "telephone_number": "310-773-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 SE GLADSTONE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063752",
            "telephone_number": "310-773-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "KRISTIN",
        "middle_name": "VERA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "156229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Brilz
• Andrew Vincent Brimhall, DMD
• Regina Maria Brimner, LCSW
• Alyssa Brin, LPC, CN
• Jade Elizabeth Brings Plenty
• Ken J. Brinker, RN
• Brian Tanner Brinkerhoff, M.D.
• Janice Margot Brinkerhoff, LAC, LMT
• Brianne Brinkley
• Jeanette Page Brinkley

• 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 Nov 15, 2012; 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.