Active NPI
Sandra Lynn Riedman, LAC
- Acupuncturist
- Portland, OR
National Provider Identifier
1194027276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC152885
- Practice address
- 2917 NE Everett St
Portland, OR 97232-3248 - Phone
- (504) 754-6460
- NPI assigned
- Nov 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC152885 | OR | Primary |
Addresses
Primary practice location
2917 NE Everett St
Portland, OR 97232-3248
Mailing address
2917 NE Everett St
Portland, OR 97232-3248
Phone (504) 754-6460
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC152885 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301097600000",
"number": "1194027276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 NE EVERETT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972323248",
"telephone_number": "504-754-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 NE EVERETT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972323248",
"telephone_number": "504-754-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDMAN",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-23",
"last_updated": "2011-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC152885",
"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 Mar 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.