Collin Derek Stoll, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00407 Issued in OR

Practice address

11900 SW Greenburg Rd
Tigard, OR 97223-6453

Phone

(503) 620-5556

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cynthia Gulick, PC

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1467675009
  NPD (past)
• My Other Me

  • Gynecology Physician
  • Portland, OR
  • NPI 1801462080
  NPD (past)
• Tigard Physical Therapy Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1669449153
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205056975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 SW BRUGGER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194928",
            "telephone_number": "503-452-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SW GREENBURG RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236453",
            "telephone_number": "503-620-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "COLLIN",
        "middle_name": "DEREK",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rebekkah Stimson, LMT
• Rebekah Stines, MSPC, LPC INTERN
• Danielle Marie Stirnaman
• Marisa Kyra Stogsdill
• Christopher Lee Stokes
• Summer Stone-Daniels
• Deanna Stone
• Rosalynda Stone
• Steven Stone
• Straight Up Chiropractic

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

• 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.