Active NPI
Alex Robert Pisker, L.AC.
- Acupuncturist
- Gresham, OR
National Provider Identifier
1225330210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC152736
- Practice address
- 130 NW Miller Ave
Gresham, OR 97030-7226 - Phone
- (303) 260-9200
- NPI assigned
- Nov 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC152736 | OR | Primary |
Addresses
Primary practice location
130 NW Miller Ave
Gresham, OR 97030-7226
Mailing address
3175 SW Westwood Dr
Portland, OR 97225-4256
Phone (303) 260-9200
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC152736 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1225330210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 SW WESTWOOD DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972254256",
"telephone_number": "303-260-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 NW MILLER AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307226",
"telephone_number": "303-260-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISKER",
"first_name": "ALEX",
"middle_name": "ROBERT",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-23",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC152736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.