Beth Yohalem-Ilsley, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00668 Issued in OR

Practice address

4631 N Albina Ave
Portland, OR 97217-3011

Phone

(503) 282-5358

Fax

(503) 735-3777

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beth Yohalem Other name

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.

• Mississippi Health Center Medicinay LLC

  • Naturopath
  • Portland, OR
  • NPI 1174747943

  Acupuncturist

  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215154372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N ALBINA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972173011",
            "telephone_number": "503-282-5358",
            "fax_number": "503-735-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N ALBINA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972173011",
            "telephone_number": "503-282-5358",
            "fax_number": "503-735-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOHALEM-ILSLEY",
        "first_name": "BETH",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "YOHALEM",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Orlin Harold Yoder, RN
• Sarah Yoell
• Yoga Union Wellness
• Natascha Yogachandra
• Christina Noel Yogerst, DC
• Jonathan Yoken, MD
• Genkai Yokomura
• Melissa Lee Yokoyama, PHARMD
• Susan Marie Yoksh, CRM
• Dana Yokum, LMT

• 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 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.