Adam Warren Anson, L.AC
Individual provider Active NPI Acupuncturist · Bonanza, OR
NPI 1023655396 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1023655396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC196830 (OR)
- Practice address
- 24985 Hwy 140 E
Bonanza, OR 97623-9744 - Phone
- (541) 591-5303
- NPI assigned
- Dec 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC196830 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Pain Solutions LLC | Acupuncturist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC196830 | OR | Yes |
Addresses
Primary practice location
24985 Hwy 140 E
Bonanza, OR 97623-9744
Mailing address
24985 Hwy 140 E
Bonanza, OR 97623-9744
Phone (541) 591-5303
Other providers in Bonanza, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.