Organization Active NPI

Tara Gregory Acupuncture

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1154747954
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC160506 Issued in OR
Legal business name
TARA GREGORY ACUPUNCTURE
Practice address
1920 NW Lovejoy St
Portland, OR 97209-1504
Phone
(503) 479-5506
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Tara E Gregory, LAC.NPI 1831535269
Title
Acupuncturist
Phone
(503) 479-5506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC160506 OR Primary

Addresses

Primary practice location

1920 NW Lovejoy St
Portland, OR 97209-1504

Mailing address

1920 NW Lovejoy St
Portland, OR 97209-1504
Phone (503) 479-5506

Other identifiers 1

IdentifierTypeStateIssuer
500666393MedicaidOR

National Provider Directory

National Provider Directory

Locations

1920 NW Lovejoy St
Portland, OR 97209
Phone (503) 417-1774

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1154747954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 NW LOVEJOY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091504",
            "telephone_number": "503-479-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 NW LOVEJOY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091504",
            "telephone_number": "503-479-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA GREGORY ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-479-5506",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC160506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500666393",
            "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 Feb 13, 2015; 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.