Portland Traditional Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01105 Issued in OR

Legal business name

PORTLAND TRADITIONAL ACUPUNCTURE

Practice address

5319 SW Westgate Dr
Ste 148
Portland, OR 97221-2411

Phone

(503) 384-9104

Fax

(503) 391-7422

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Aja Njo, LAC

Title

Owner

Phone

(503) 384-9104

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• April V Neufeld, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1255535449
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1205107729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR",
            "address_2": "STE 148",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212411",
            "telephone_number": "503-384-9104",
            "fax_number": "503-391-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR",
            "address_2": "STE 148",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212411",
            "telephone_number": "503-384-9104",
            "fax_number": "503-391-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND TRADITIONAL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "NJO",
        "authorized_official_first_name": "AJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-384-9104",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portland VA Medical Center
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• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.