Organization Active NPI

Wolf Crow Medicine

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1245770890
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC173827 Issued in OR
Legal business name
WOLF CROW MEDICINE
Practice address
6118 SE Belmont Street
#405
Portland, OR 97215
Phone
(503) 701-6077
Fax
(503) 776-3106
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Ms. J Whiskey Northrop, LACNPI 1891168399
Title
Owner/Acupuncturist
Phone
(503) 701-6077

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC173827 OR Primary

Addresses

Primary practice location

6118 SE Belmont Street
#405
Portland, OR 97215

Mailing address

411 NE 57TH Avenue
Apt B
Portland, OR 97213
Phone (503) 701-6077

Other identifiers 1

IdentifierTypeStateIssuer
500704599MedicaidOR

National Provider Directory

National Provider Directory

Locations

6118 SE Belmont St
Ste 405
Portland, OR 97215
Phone (503) 701-6077

833 SE Main St
Ste 308
Portland, OR 97214

Practitioners & affiliated clinicians

Practitioners 1

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": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1245770890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NE 57TH AVENUE",
            "address_2": "APT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-701-6077",
            "fax_number": "503-776-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 SE BELMONT STREET",
            "address_2": "#405",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97215",
            "telephone_number": "503-701-6077",
            "fax_number": "503-776-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF CROW MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "NORTHROP",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "WHISKEY",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-701-6077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC173827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500704599",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.