Active NPI
Abby Wollman
- Acupuncturist
- Portland, OR
National Provider Identifier
1043921992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC213751
- Practice address
- 6913 SE Foster Rd
Portland, OR 97206-4547 - Phone
- (503) 235-7653
- NPI assigned
- Dec 12, 2022
- 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 | AC213751 | OR | Primary |
Addresses
Primary practice location
6913 SE Foster Rd
Portland, OR 97206-4547
Mailing address
1619 NE 81St Ave
Portland, OR 97213-6663
Phone (714) 306-1610
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 |
|---|---|---|---|
| AC213751 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Phoenix Acupuncture | Acupuncturist | Current | Accepting new patients |
Locations
6913 SE Foster Rd
Portland, OR 97206
Phone (503) 235-7653
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": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1043921992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 NE 81ST AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136663",
"telephone_number": "714-306-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6913 SE FOSTER RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972064547",
"telephone_number": "503-235-7653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLMAN",
"first_name": "ABBY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC213751",
"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 Dec 12, 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.