Individual provider Active NPI

Tara Radsliff, LAC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1245983279
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC209236 Issued in OR
Practice address
3115 NE Sandy Blvd Ste 231
Portland, OR 97232-2779
Phone
(503) 701-8766
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC209236 OR Primary

Addresses

Primary practice location

3115 NE Sandy Blvd Ste 231
Portland, OR 97232-2779

Mailing address

7960 SE 21St Ave Apt 2
Portland, OR 97202-6879
Phone (916) 838-7621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC209236ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Many Rivers Holistic Medicine Acupuncturist Current Accepting new patients
Kwan Yin Healing Arts Center Acupuncturist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1245983279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 SE 21ST AVE APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026879",
            "telephone_number": "916-838-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 NE SANDY BLVD STE 231",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322779",
            "telephone_number": "503-701-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADSLIFF",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC209236",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 31, 2022; 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.