Active NPI
Thriving Acupuncture
Doing business as Paul Storm
- Health Service Clinic/Center
- Portland, OR
National Provider Identifier
1114433802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- AC185005
- Legal business name
- THRIVING ACUPUNCTURE
- Doing business as
- Paul Storm
- Practice address
- 1708 NW 25TH Ave Apt 6
Portland, OR 97210-2435 - Phone
- (406) 407-0766
- Fax
- (406) 407-0766
- NPI assigned
- Dec 18, 2017
- Organization subpart
- Yes
- Parent organization
- PAUL STORM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul M Storm, MACOM, LAC
- Title
- Acupuncturist
- Phone
- (406) 407-0766
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | AC185005 | OR | Primary |
Addresses
Primary practice location
1708 NW 25TH Ave Apt 6
Portland, OR 97210-2435
Mailing address
1708 NW 25TH Ave Apt 6
Portland, OR 97210-2435
Phone (406) 407-0766
Other names 1
- Paul Storm
National Provider Directory
National Provider Directory- Part of
- Thriving Acupuncture
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Portland, OR
- NPI 1205349172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1114433802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 NW 25TH AVE APT 6",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102435",
"telephone_number": "406-407-0766",
"fax_number": "406-407-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 NW 25TH AVE APT 6",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102435",
"telephone_number": "406-407-0766",
"fax_number": "406-407-0766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVING ACUPUNCTURE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PAUL STORM",
"enumeration_date": "2017-12-18",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "STORM",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ACUPUNCTURIST",
"authorized_official_telephone_number": "406-407-0766",
"authorized_official_credential": "MACOM, LAC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "OR",
"license": "AC185005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paul Storm",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.