Organization Active NPI

Aria Walker, Lac

  • Multi-Specialty Clinic/Center
  • Portland, OR
National Provider Identifier
1124563440
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
AC167797 Issued in OR
Legal business name
ARIA WALKER, LAC
Practice address
1235 SE Division St
Suite 206
Portland, OR 97202-1099
Phone
(503) 446-1960
Fax
(888) 653-7244
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Rachelle Aria Walker, L.AC.
Title
Owner Acupuncturist
Phone
(503) 446-1960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X AC167797 OR Primary

Addresses

Primary practice location

1235 SE Division St
Suite 206
Portland, OR 97202-1099

Mailing address

1235 SE Division St
Suite 206
Portland, OR 97202-1099
Phone (503) 446-1960

Other identifiers 1

IdentifierTypeStateIssuer
500688634OtherORDMAP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1124563440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST",
            "address_2": "SUITE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021099",
            "telephone_number": "503-446-1960",
            "fax_number": "888-653-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST",
            "address_2": "SUITE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021099",
            "telephone_number": "503-446-1960",
            "fax_number": "888-653-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIA WALKER, LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "ARIA",
        "authorized_official_title_or_position": "OWNER ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-446-1960",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OR",
            "license": "AC167797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP",
            "identifier": "500688634",
            "state": "OR"
        }
    ],
    "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 Dec 21, 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.

Verify at the official NPI Registry.