Bernadette Sanders, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC215154 Issued in OR

Practice address

16144 SE Happy Valley Town Center Dr Ste 214
Happy Valley, OR 97086-4257

Phone

(503) 658-7715

Fax

(503) 658-7181

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1043993132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 SE MARTINS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067076",
            "telephone_number": "503-997-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16144 SE HAPPY VALLEY TOWN CENTER DR STE 214",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864257",
            "telephone_number": "503-658-7715",
            "fax_number": "503-658-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4606 SE Martins St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972067076",
            "country_code": "US",
            "telephone_number": "503-997-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BERNADETTE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC215154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.