Individual provider Active NPI

Morteza Aleali, LICENSED ACUPUCTURIS

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1164589768
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00205 Issued in OR
Practice address
327 NW Couch Street
Portland, OR 97209-3920
Phone
(503) 226-2765
Fax
(503) 226-4243
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00205 OR Primary

Addresses

Primary practice location

327 NW Couch Street
Portland, OR 97209-3920

Mailing address

327 NW Couch Street
Portland, OR 97209-3920
Phone (503) 226-2765

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

LicenseStateTypeSpecialty
AC00205ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164589768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 NW COUCH STREET",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093920",
            "telephone_number": "503-226-2765",
            "fax_number": "503-226-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 NW COUCH STREET",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093920",
            "telephone_number": "503-226-2765",
            "fax_number": "503-226-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEALI",
        "first_name": "MORTEZA",
        "credential": "LICENSED ACUPUCTURIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00205",
            "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 Jul 8, 2007; 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.