Susan Vancleve, M.AC.O.M., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01245 Issued in OR

Practice address

22400 SE Stark St
Gresham, OR 97030-2656

Phone

(503) 492-2600

NPI assigned

Jan 6, 2009

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

Other names 1

• Shelby Vancleve Other name

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": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1083850424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-492-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCLEVE",
        "first_name": "SUSAN",
        "credential": "M.AC.O.M., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "VANCLEVE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Misty Van Cleave, DNP FNP
• Jocelyn Michelle Van Hee, MSW
• Amanda K Van Pelt
• Jessica Elizabeth Vanasee, MS, CF-SLP
• Paul E Vanbredavriesman, M.D.
• Angela G Vandenbos, L.M.T.
• Carli Sawyer Vandenhouten, PMHNP-BC
• Laura Marie Vanderwerff, M.D.
• David Leslie Vandiest, M.A., LPC
• Kristan Vandomelen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.