Northwest Acupuncture

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

AC01149 Issued in OR

Legal business name

NORTHWEST ACUPUNCTURE

Practice address

10224 SW Park Way # a
Portland, OR 97225-5010

Phone

(503) 297-1174

Fax

(503) 297-2623

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. In Hyongyu Yu, DAOM

Title

Owner

Phone

(503) 297-1174

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1225445166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 SW PARK WAY # A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255010",
            "telephone_number": "503-297-1174",
            "fax_number": "503-297-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 SW PARK WAY # A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255010",
            "telephone_number": "503-297-1174",
            "fax_number": "503-297-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "IN",
        "authorized_official_middle_name": "HYONGYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-297-1174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "AC01149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Northrop, M.D.
• Northstar Community Services Inc
• Northstar TMS
• Alexandra Jean Northup, LMT, RYT
• Northvale Behavioral Health LLC
• Northwest Acute Care Specialists PC
• Northwest ADHD Treatment Center
• Northwest Ambulatory Surgery Center LLC
• Northwest Cancer Specialists
• Northwest Cardiovascular Institute, LLP

• All providers in Portland, OR
• Preferred Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.