Individual provider Active NPI

Liliann Hodgins, LAC, MTOM

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1093380396
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC205311 Issued in OR
Practice address
9548 NW Thompson Rd
Portland, OR 97229-3849
Phone
(310) 367-0273
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC205311 OR Primary

Addresses

Primary practice location

9548 NW Thompson Rd
Portland, OR 97229-3849

Mailing address

9548 NW Thompson Rd
Portland, OR 97229-3849
Phone (310) 367-0273

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
AC205311ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1093380396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9548 NW THOMPSON RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293849",
            "telephone_number": "310-367-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9548 NW THOMPSON RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293849",
            "telephone_number": "310-367-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGINS",
        "first_name": "LILIANN",
        "credential": "LAC, MTOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC205311",
            "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 May 20, 2021; 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.