Adam Clyde Burrill, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC156376 Issued in OR

Practice address

21358 Highway 99E NE
Aurora, OR 97002

Phone

(971) 599-1228

NPI assigned

Oct 26, 2011

Last updated

Jun 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spring and Autumn Acupuncture

  • Clinic/Center
  • Portland, OR
  • NPI 1205105152
  Authorized official Same address or phone

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1114203718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21358 HIGHWAY 99E NE",
            "city": "AURORA",
            "state": "OR",
            "postal_code": "970029201",
            "telephone_number": "971-599-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21358 HIGHWAY 99E NE",
            "city": "AURORA",
            "state": "OR",
            "postal_code": "97002",
            "telephone_number": "971-599-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 SE Francis Street",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972023558",
            "country_code": "US",
            "telephone_number": "503-572-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRILL",
        "first_name": "ADAM",
        "middle_name": "CLYDE",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-26",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC156376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Thomas Alvord, PSYD
• Skyler Anderson, FNP
• Aurora Birth Center
• Aurora Family Health and Maternity Care Services LLC
• Simone Bostic, M.S., CCC-SLP
• Joanne Byrd, CPM, LDM
• Daniel James Keegan O'Connell LCSW Inc
• Regina Sunshine Flanagan, ND
• Sarah M. Geisler, R.N.
• Gretchen L Hittle, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.