NPIMap

Organization Active NPI

Monarch Health and Wellness LLC

  • Pain Clinic/Center
  • Keizer, OR
National Provider Identifier
1235755596
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
MONARCH HEALTH AND WELLNESS LLC
Practice address
4855 River Rd N
Keizer, OR 97303-4537
Phone
(503) 393-1499
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Travis James Brueckner, LACNPI 1518467828
Title
Acupuncturist
Phone
(503) 507-7274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

4855 River Rd N
Keizer, OR 97303-4537

Mailing address

4855 River Rd N
Keizer, OR 97303-4537
Phone (503) 393-1499

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL monarchhealthacu@gmail

National Provider Directory

National Provider Directory

Locations

4855 River Rd N
Keizer, OR 97303
Phone (503) 393-1499

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1235755596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034537",
            "telephone_number": "503-393-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034537",
            "telephone_number": "503-393-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "BRUECKNER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-507-7274",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "monarchhealthacu@gmail",
            "affiliation": "N",
            "address_1": "4855 River Rd N",
            "city": "Keizer",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973034537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.