Padmanabhan K Melethil, L AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC1079 Issued in OR

Practice address

30150 SW Parkway Ave Ste 600
Wilsonville, OR 97070-6837

Phone

(503) 682-9319

NPI assigned

Dec 11, 2007

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

Practice roles

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

• Melethil Acupuncture Services LLC

  • Clinic/Center
  • Wilsonville, OR
  • NPI 1578851820
  NPD (past) Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144403254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 SW PARKWAY AVE STE 600",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706837",
            "telephone_number": "503-682-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30150 SW PARKWAY AVE STE 600",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706837",
            "telephone_number": "503-682-9319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8755 SW Citizens Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970708860",
            "country_code": "US",
            "telephone_number": "503-682-9319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELETHIL",
        "first_name": "PADMANABHAN",
        "middle_name": "K",
        "credential": "L AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry William McVay, M.A., L.P.C.
• Kent Forrest Meckling, MD
• Medical Massage N.W. L.L.C
• Caprice A Meese, PHARMD
• Melethil Acupuncture Services LLC
• Alysa Jordan Melton
• Sharida J Melton, PSYD
• Meredith Mirsepassi Counseling
• Courtney Elizabeth Merton
• Melanie Meyer, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.