Active NPI
Katherine Ellen Annala, LAC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1043564628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC160265
- Practice address
- 10541 SE Cherry Blossom Dr
Portland, OR 97216-2826 - Phone
- (503) 445-0953
- NPI assigned
- Nov 3, 2012
- Last updated
- Nov 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC160265 | OR | Primary |
Addresses
Primary practice location
10541 SE Cherry Blossom Dr
Portland, OR 97216-2826
Mailing address
1327 SE 80TH Ave
Portland, OR 97215-3014
Phone (503) 544-4336
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC160265 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351900800000",
"number": "1043564628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 SE 80TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972153014",
"telephone_number": "503-544-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10541 SE CHERRY BLOSSOM DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162826",
"telephone_number": "503-445-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNALA",
"first_name": "KATHERINE",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-03",
"last_updated": "2012-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC160265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.