Organization Active NPI

Release LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1255651972
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00828 Issued in OR
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

Updated by the provider on Jun 4, 2010

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.