Active NPI
Wolf Crow Medicine
- Acupuncturist
- Portland, OR
National Provider Identifier
1245770890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC173827
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. J Whiskey Northrop, LAC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500704599 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Acupuncturist
- Portland, OR
- NPI 1891168399
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.