Sarah Frances Butler Fan, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

153088 Issued in OR

Practice address

12750 SW 2ND St Ste 102
Beaverton, OR 97005-2779

Phone

(503) 877-5633

Fax

(503) 350-1470

NPI assigned

Jan 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sarah Frances Butler Fan

  dba Young Pine Acupuncture LLC

  • Acupuncturist
  • Beaverton, OR
  • NPI 1275803850
  NPD Authorized official
• Therapeutic Associates Inc

  • Physical Therapist
  • Beaverton, OR
  • NPI 1982067815
  NPD (past)

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1073817748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 SW 2ND ST STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052779",
            "telephone_number": "503-877-5633",
            "fax_number": "503-350-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 SW 2ND ST STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052779",
            "telephone_number": "503-877-5633",
            "fax_number": "503-350-1470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Nike Wellness Center One Bowerman Dr BJ1",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "97005",
            "country_code": "US",
            "telephone_number": "503-671-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAN",
        "first_name": "SARAH",
        "middle_name": "FRANCES BUTLER",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC153088",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "153088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Fair
• Alise Faircloth
• Faith, Hope & Healing
• Nicole Marie Falk, LMFT
• Kristin Fall
• Yun Fan, O.D.
• Tzann T Fang, MD
• Michael R.R. Fanning
• Fanno Creek Healing Arts LLP
• Emebet Fekadu Fantahun, RN

• Acupuncturist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.