Active NPI
Spring and Autumn Acupuncture
- Clinic/Center
- Portland, OR
National Provider Identifier
1205105152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- AC156376
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.