Organization Active NPI

Spring and Autumn Acupuncture

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1205105152
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC156376 Issued in OR
Legal business name
SPRING AND AUTUMN ACUPUNCTURE
Practice address
1017 SW Morrison St Ste 407
Portland, OR 97205-2629
Phone
(971) 599-1228
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mr. Adam Clyde Burrill, L.AC.
Title
Owner/Acupuncturist
Phone
(971) 599-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC156376 OR Primary

Addresses

Primary practice location

1017 SW Morrison St Ste 407
Portland, OR 97205-2629

Mailing address

1017 SW Morrison St Ste 407
Portland, OR 97205-2629
Phone (971) 599-1228

National Provider Directory

National Provider Directory

Locations

1017 SW Morrison St
Ste 407
Portland, OR 97205
Phone (503) 349-4242

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1205105152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST STE 407",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052629",
            "telephone_number": "971-599-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST STE 407",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052629",
            "telephone_number": "971-599-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING AND AUTUMN ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "BURRILL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "971-599-1228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "AC156376",
            "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 Dec 22, 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.

Verify at the official NPI Registry.