NPIMap

Organization Active NPI

Deborah

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1154682128
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00879 Issued in OR
Legal business name
DEBORAH
Practice address
5517 N Commercial Ave
Portland, OR 97217-2339
Phone
(503) 891-8569
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Deborah Wiley
Title
Owner
Phone
(503) 891-8569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00879 OR Primary

Addresses

Primary practice location

5517 N Commercial Ave
Portland, OR 97217-2339

Mailing address

5517 N Commercial Ave
Portland, OR 97217-2339
Phone (503) 891-8569

National Provider Directory

National Provider Directory
Tax ID family
Kwan Yin Healing Arts Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1154682128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 N COMMERCIAL AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172339",
            "telephone_number": "503-891-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 N COMMERCIAL AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172339",
            "telephone_number": "503-891-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-891-8569"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00879",
            "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 Jun 6, 2012; 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.