Individual provider Active NPI

Shao Lun Ho, LAC

  • Acupuncturist
  • Beaverton, OR
National Provider Identifier
1053044032
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC211606 Issued in OR
Practice address
4670 SW Washington Ave
Beaverton, OR 97005-0530
Phone
(503) 646-8575
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC211606 OR Primary

Addresses

Primary practice location

4670 SW Washington Ave
Beaverton, OR 97005-0530

Mailing address

4670 SW Washington Ave
Beaverton, OR 97005-0530
Phone (971) 777-0753

Other practice location 1

410 SE Ash St
Portland, OR 97214-1144
Phone (503) 208-2185

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

LicenseStateTypeSpecialty
AC211606ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1053044032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 SW WASHINGTON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050530",
            "telephone_number": "971-777-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 SW WASHINGTON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050530",
            "telephone_number": "503-646-8575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 SE Ash St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141144",
            "country_code": "US",
            "telephone_number": "503-208-2185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "SHAO LUN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC211606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.