Beverly M. Madison L.Ac. P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

100 Issued in OR

Legal business name

BEVERLY M. MADISON L.AC. P.C.

Practice address

2524 NE 39TH Ave
Portland, OR 97212-2923

Phone

(503) 288-7661

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Beverly M. Madison, L.AC.

Title

Acupuncturists

Phone

(503) 288-7661

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033315957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 NE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122923",
            "telephone_number": "503-288-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 NE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122923",
            "telephone_number": "503-288-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY M. MADISON L.AC. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ACUPUNCTURISTS",
        "authorized_official_telephone_number": "503-288-7661",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Bettis
• Jennifer Rose Bettis
• Jenna E Betz, MD
• Mary Emma Betz
• Theodora Elizabeth Betzvog
• Kourtney C Bevers
• Jeanne NMN Bevis
• Abraham G Beyene
• Gayla Joy Beyer, FNP
• Jeremy Thomas Beyer, MD

• 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 Aug 22, 2020; 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.