Active NPI
Patrick Miller
- Acupuncturist
- Salem, OR
National Provider Identifier
1124482708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 174197
- Practice address
- 1359 Emmons Dr NE
Salem, OR 97301-2900 - Phone
- (503) 931-7572
- NPI assigned
- Apr 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 174197 | OR | Primary |
Addresses
Primary practice location
1359 Emmons Dr NE
Salem, OR 97301-2900
Mailing address
1359 Emmons Dr NE
Salem, OR 97301-2900
Phone (503) 931-7572
Other names 1
- Sequoia Adashi Lotus Arayas
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
| License | State | Type | Specialty |
|---|---|---|---|
| 174197 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1124482708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1359 EMMONS DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012900",
"telephone_number": "503-931-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 EMMONS DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012900",
"telephone_number": "503-931-7572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-08",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "174197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SEQUOIA",
"last_name": "ARAYAS",
"middle_name": "ADASHI LOTUS",
"credential": "LAC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.