NPIMap

Organization Active NPI

Pivot Health Acupuncture

  • Acupuncturist
  • Clackamas, OR
National Provider Identifier
1184040255
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PIVOT HEALTH ACUPUNCTURE
Practice address
8810 SE Sunnybrook Blvd Ste 100
Clackamas, OR 97015-6805
Phone
(360) 882-7373
Fax
(503) 659-2276
NPI assigned
Mar 12, 2014
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Tyler Nathaniel Andres, DAOM, LACNPI 1881938256
Title
Acupuncturist
Phone
(503) 607-2226

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary
Medical Specialty Clinic/Center 261QM2500X AC60351775 WA

Addresses

Primary practice location

8810 SE Sunnybrook Blvd Ste 100
Clackamas, OR 97015-6805

Mailing address

8810 SE Sunnybrook Blvd Ste 100
Clackamas, OR 97015-6805
Phone (503) 607-2226

National Provider Directory

National Provider Directory

Locations

8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120

14201 NE 20th Ave
Ste A102
Vancouver, WA 98686
Phone (360) 882-7373

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1184040255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 SE SUNNYBROOK BLVD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156805",
            "telephone_number": "503-607-2226",
            "fax_number": "503-659-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 SE SUNNYBROOK BLVD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156805",
            "telephone_number": "360-882-7373",
            "fax_number": "503-659-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT HEALTH ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-607-2226",
        "authorized_official_credential": "DAOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "AC60351775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.