Three Branches Clinic PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00216 Issued in OR

Legal business name

THREE BRANCHES CLINIC PC

Practice address

320 Central Ave
Suite 304
Coos Bay, OR 97420-2272

Phone

(541) 267-2142

Fax

(541) 267-2073

NPI assigned

Nov 30, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Lynn Branson, LMT

Title

Secretary/Massage Therapist

Phone

(541) 267-2142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1114262284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE",
            "address_2": "SUITE 304",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202272",
            "telephone_number": "541-267-2142",
            "fax_number": "541-267-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE",
            "address_2": "SUITE 304",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202272",
            "telephone_number": "541-267-2142",
            "fax_number": "541-267-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE BRANCHES CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "BRANSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SECRETARY/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "541-267-2142",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Man Thai, PHARMD
• The Hydration Room
• Therapeutic Innovations, LLC
• Ndeye Thiaw
• Heather Thoma, RN, QMHP
• Mark B Titcomb, CRNA
• Bradley G Titus, M.D.
• Diane H Todd, ACNP
• Charles H Toledo, M.D.
• Michael Anthony Torres, MD, MBA

• Acupuncturist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.