Active NPI
Release LLC
- Acupuncturist
- Portland, OR
National Provider Identifier
1255651972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00828
- Legal business name
- RELEASE LLC
- Practice address
- 5308 SE Rhone St
Portland, OR 97206-2962 - Phone
- (503) 810-8589
- NPI assigned
- Jun 4, 2010
- 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
- Mr. Timothy Eng, L.AC.
- Title
- Member
- Phone
- (503) 810-8589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00828 | OR | Primary |
Addresses
Primary practice location
5308 SE Rhone St
Portland, OR 97206-2962
Mailing address
PO Box 42004
Portland, OR 97242-0004
Phone (503) 810-8589
Other names 1
- Release
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275609600000",
"number": "1255651972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42004",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972420004",
"telephone_number": "503-810-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 SE RHONE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972062962",
"telephone_number": "503-810-8589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELEASE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-04",
"last_updated": "2010-06-04",
"status": "A",
"authorized_official_last_name": "ENG",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "503-810-8589",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "L.AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Release",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.