Green Willow Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

GREEN WILLOW ACUPUNCTURE, LLC

Practice address

911 NE 4TH St
Suite 2
Bend, OR 97701-4647

Phone

(541) 678-1162

Fax

(512) 493-6178

NPI assigned

Jan 26, 2016

Last updated

Jan 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emden Griffin, LACNPI 1659568756

Title

Member

Phone

(541) 350-0723

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emden Rose Griffin, L.AC., LMT

  • Specialist
  • Bend, OR
  • NPI 1659568756

  Acupuncturist

  NPD Authorized official

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1174980809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 NE 4TH ST",
            "address_2": "SUITE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014647",
            "telephone_number": "541-678-1162",
            "fax_number": "512-493-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NE 4TH ST",
            "address_2": "SUITE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014647",
            "telephone_number": "541-678-1162",
            "fax_number": "512-493-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN WILLOW ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "EMDEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-350-0723",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey James Gray, PH.D.
• Keshia Gray
• Kyle Gray, PA-C
• Great Smile Dental of Bend LLC (Aesthetic Dentistry of Bend)
• Jessica Greco, D.O.
• Alexander Michael Green, DPT, PT
• Derek A Green, DPT
• Nancy Green, MS, OTR/L, CAPS
• Vanessa Green, LMT
• David Greenberg, MD

• Acupuncturist in Bend, OR
• Providers in Bend, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.