Individual provider Active NPI

Zhaoxue Lu, LAC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1083778922
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00794 Issued in OR
Practice address
1125 NW 9TH Avenue, Suite 107B
Portland, OR 97210-2766
Phone
(503) 227-9898
Fax
(503) 227-5590
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00794 OR Primary

Addresses

Primary practice location

1125 NW 9TH Avenue, Suite 107B
Portland, OR 97210-2766

Mailing address

1125 NW 9TH Ave Apt 107B
Portland, OR 97209-2865
Phone (503) 701-4989

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
AC00794ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services Past Accepting new patients
True Healing and Health Past Accepting new patients

Organizations & group practices 2

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1083778922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NW 9TH AVE APT 107B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092865",
            "telephone_number": "503-701-4989",
            "fax_number": "503-257-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NW 9TH AVENUE, SUITE 107B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102766",
            "telephone_number": "503-227-9898",
            "fax_number": "503-227-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "ZHAOXUE",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00794",
            "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 Jan 27, 2011; 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.