NPIMap

Organization Active NPI

Sr 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
Practice address
4246 SE Belmont St Ste 5
Portland, OR 97215-1676
Phone
(503) 445-8114
NPI assigned
Sep 5, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

National Provider Directory

National Provider Directory

Locations

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Resonance Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2024.

{
    "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": "193400000X SINGLE SPECIALTY  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.