NPIMap

Organization Active NPI

Sr Clinic

Doing business as Resonance Clinic

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1043045388
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SR CLINIC
Doing business as
Resonance Clinic
Practice address
4246 SE Belmont St Ste 5
Portland, OR 97215-1676
Phone
(503) 445-8114
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Dr. Jameson James, DTCMNPI 1013488840
Title
Owner
Phone
(646) 623-9057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

4246 SE Belmont St Ste 5
Portland, OR 97215-1676

Mailing address

4246 SE Belmont St Ste 5
Portland, OR 97215-1676
Phone (503) 445-8114

Other names 1

  • Resonance Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4246 SE Belmont St
Ste 5
Portland, OR 97215
Phone (503) 445-8114

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1043045388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 SE BELMONT ST STE 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151676",
            "telephone_number": "503-445-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 SE BELMONT ST STE 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151676",
            "telephone_number": "503-445-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JAMESON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-623-9057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DTCM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resonance Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.