An Integrated Life, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1074682 Issued in OR

Legal business name

AN INTEGRATED LIFE, LLC

Practice address

6022 SW Kelly Ave
Portland, OR 97239-3733

Phone

(608) 347-0667

NPI assigned

Nov 20, 2014

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julia A Shannon, OTR/LNPI 1487843074

Title

Ceo

Phone

(503) 707-6549

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, and the practitioner matching its NPPES authorized official.

• Julia Shannon, OTR/L

  • Occupational Therapist
  • Portland, OR
  • NPI 1487843074
  Authorized official Same address or phone

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1225435100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 SW MACADAM AVE STE 201J",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396417",
            "telephone_number": "503-707-6549",
            "fax_number": "503-974-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 SW KELLY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393733",
            "telephone_number": "608-347-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN INTEGRATED LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-707-6549",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1074682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Harris PSYD
• Amy Killen, MD, LLC (BodyLogicMD of Portland)
• Amy Oldendorf
• Amy Robben, LCSW, LLC
• Amy Rose Boren
• An Kang Natural Health Center (Luo Acupuncture and Herbal Clinic)
• An Sen Clinic LLC
• An Tai Acupuncture and Natural Health, Inc
• Lisa An, MD
• Liu An

• Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.