Individual provider Active NPI

Claudia Raquel Perfecto

  • Acupuncturist
  • Tualatin, OR
National Provider Identifier
1033741103
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC193430 Issued in OR
Practice address
18813 SW Martinazzi Ave
Tualatin, OR 97062-6807
Phone
(503) 765-5265
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC193430 OR Primary

Addresses

Primary practice location

18813 SW Martinazzi Ave
Tualatin, OR 97062-6807

Mailing address

8365 SW Warm Springs St
Tualatin, OR 97062-9003
Phone (503) 984-3157

Other practice location 1

12705 SW 124th Ave
Tigard, OR 97223-3052
Phone (503) 984-3157

Other practice location 2

10225 SW Hall Blvd Ste 104
Tigard, OR 97223-8855
Phone (503) 208-3579

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://activelifechiropractic.janeapp.com/admin#staff/new Health Information Exchange (HIE)

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
AC193430ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodes Chiropractic, LLC PastSince Feb 6, 2022 Accepting new patients

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1033741103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365 SW WARM SPRINGS ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629003",
            "telephone_number": "503-984-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18813 SW MARTINAZZI AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626807",
            "telephone_number": "503-765-5265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12705 SW 124th Ave",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972233052",
            "country_code": "US",
            "telephone_number": "503-984-3157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10225 SW Hall Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238855",
            "country_code": "US",
            "telephone_number": "503-208-3579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERFECTO",
        "first_name": "CLAUDIA",
        "middle_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC193430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://activelifechiropractic.janeapp.com/admin#staff/new",
            "affiliation": "N",
            "endpointDescription": "Jane",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18813 SW Martinazzi Ave",
            "city": "Tualatin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970626807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.