NPIMap

Organization Active NPI

Vitalize Acupuncture Inc.

Doing business as Vitalize acupuncture and herbal medicine

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1255715165
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC164843 Issued in OR
Legal business name
VITALIZE ACUPUNCTURE INC.
Doing business as
Vitalize acupuncture and herbal medicine
Practice address
511 SW 10TH Ave Ste 610
Portland, OR 97205-2707
Phone
(503) 756-2743
NPI assigned
Jul 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Sarah Carter, LAC.NPI 1740618610
Title
Co-Owner
Phone
(503) 756-2743

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC164843 OR Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC165242 OR

Addresses

Primary practice location

511 SW 10TH Ave Ste 610
Portland, OR 97205-2707

Mailing address

511 SW 10TH Ave Ste 610
Portland, OR 97205-2707
Phone (503) 756-2743

Other names 1

  • Vitalize acupuncture and herbal medicine Doing business as

National Provider Directory

National Provider Directory

Locations

12655 SW Center St
Ste 140
Beaverton, OR 97005
Phone (503) 756-2743

511 SW 10th Ave
Ste 610
Portland, OR 97205
Phone (503) 756-2743

Practitioners & affiliated clinicians

Practitioners 10

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": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1255715165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 610",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052707",
            "telephone_number": "503-756-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 610",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052707",
            "telephone_number": "503-756-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIZE ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-756-2743",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC164843",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC165242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitalize acupuncture and herbal medicine",
            "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 Jul 10, 2015; 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.