Individual provider Active NPI

Julia Walls, DACM

  • Acupuncturist
  • Tualatin, OR
National Provider Identifier
1215328984
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC167655 Issued in OR
Practice address
6464 SW Borland Rd Ste B6
Tualatin, OR 97062-8859
Phone
(503) 489-8480
Fax
(503) 922-3048
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC167655 OR Primary

Addresses

Primary practice location

6464 SW Borland Rd Ste B6
Tualatin, OR 97062-8859

Mailing address

2031 SE Belmont St
Portland, OR 97214-2812
Phone (503) 489-8480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julia@pathfinderwellness.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC167655ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder Wellness, LLC Acupuncturist CurrentSince Jun 25, 2023 Accepting new patients

Locations

2031 SE Belmont St
Portland, OR 97214
Phone (503) 893-2275

6464 SW Borland Rd
Ste B6
Tualatin, OR 97062
Phone (503) 489-8480

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1215328984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142812",
            "telephone_number": "503-489-8480",
            "fax_number": "503-922-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE B6",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628859",
            "telephone_number": "503-489-8480",
            "fax_number": "503-922-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DACM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC167655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julia@pathfinderwellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "-",
            "address_1": "2031 SE Belmont St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972142812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.