Acupuncture by Jenn
Organization Active NPI Point of Service · Gresham, OR
NPI 1144763285 · NPPES record last updated Nov 21, 2016
Key facts
- NPI
- 1144763285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Point of Service 305S00000X
- License
- 179910 (OR)
- Legal business name
- ACUPUNCTURE BY JENN
- Practice address
- 109 N Main Ave
Suite 201
Gresham, OR 97030-7200 - Phone
- (503) 665-1999
- NPI assigned
- Nov 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Jennifer Hudson, LAC
- Title
- Owner
- Phone
- (503) 665-1999
National Provider Directory
Locations
109 N Main Ave
Ste 201
Gresham, OR 97030
Phone (503) 502-4190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 179910 | OR | Yes |
Addresses
Primary practice location
109 N Main Ave
Suite 201
Gresham, OR 97030-7200
Mailing address
109 N Main Ave
Suite 201
Gresham, OR 97030-7200
Phone (503) 665-1999
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.