Individual provider Active NPI

Robert Ryan Love, MACOM, LAC

  • Acupuncturist
  • Clackamas, OR
National Provider Identifier
1023555380
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC176730 Issued in OR
Practice address
15661 SE 82ND Drive
Clackamas, OR 97015
Phone
(503) 343-9851
Fax
(503) 376-6036
NPI assigned
Jan 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC176730 OR Primary

Addresses

Primary practice location

15661 SE 82ND Drive
Clackamas, OR 97015

Mailing address

15661 SE 82ND Drive
Clackamas, OR 97015
Phone (503) 343-9851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC176730ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Love Acupuncture Acupuncturist CurrentSince Oct 20, 2019 Accepting new patients

Locations

15661 SE 82nd Dr
Clackamas, OR 97015
Phone (503) 343-9851

13110 SE Sunnyside Rd
Ste B
Clackamas, OR 97015
Phone (503) 659-3480

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1023555380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15661 SE 82ND DRIVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97015",
            "telephone_number": "503-343-9851",
            "fax_number": "503-376-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15661 SE 82ND DRIVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97015",
            "telephone_number": "503-343-9851",
            "fax_number": "503-376-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "ROBERT",
        "middle_name": "RYAN",
        "credential": "MACOM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-25",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC176730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.