NPIMap

Organization Active NPI

Lee Hullender Rubin, Daom, Lac

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1053705285
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC153822 Issued in OR
Legal business name
LEE HULLENDER RUBIN, DAOM, LAC
Practice address
2250 NW Flanders St
Ste 205
Portland, OR 97210-3443
Phone
(503) 277-4050
Fax
(503) 477-7673
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Lee Hullender Rubin, DAOM, LAC
Title
Owner
Phone
(503) 249-4868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC153822 OR Primary

Addresses

Primary practice location

2250 NW Flanders St
Ste 205
Portland, OR 97210-3443

Mailing address

1304 NE Roselawn St
Portland, OR 97211-4428
Phone (503) 249-4868

Other names 1

  • Portland Acupuncture Studio LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1053705285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 NE ROSELAWN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114428",
            "telephone_number": "503-249-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST",
            "address_2": "STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103443",
            "telephone_number": "503-277-4050",
            "fax_number": "503-477-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE HULLENDER RUBIN, DAOM, LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "HULLENDER RUBIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-249-4868",
        "authorized_official_credential": "DAOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC153822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Acupuncture Studio LLC",
            "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 Mar 25, 2015; 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.