Active NPI
Diane L Behall, LAC
- Acupuncturist
- Portland, OR
National Provider Identifier
1144553215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01246
- Practice address
- 555 SW Oak St
Westside Athletic Club
Portland, OR 97204-1752 - Phone
- (503) 208-4325
- NPI assigned
- Sep 8, 2009
- Last updated
- Sep 16, 2011
- Sex
- Female
- 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 | AC01246 | OR | Primary |
Addresses
Primary practice location
555 SW Oak St
Westside Athletic Club
Portland, OR 97204-1752
Mailing address
5714 NE 17TH Ave
Portland, OR 97211-4957
Phone (503) 208-4325
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 |
|---|---|---|---|
| AC01246 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1144553215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5714 NE 17TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972114957",
"telephone_number": "503-208-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SW OAK ST",
"address_2": "WESTSIDE ATHLETIC CLUB",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041752",
"telephone_number": "503-208-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHALL",
"first_name": "DIANE",
"middle_name": "L",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01246",
"primary": true
}
],
"identifiers": [],
"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 Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.