Mariah Stolle, ND, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC194856 Issued in OR

Practice address

9923 SW Arctic Dr
Beaverton, OR 97005-4194

Phone

(503) 646-8482

NPI assigned

Nov 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adapt Training

  • Massage Therapist
  • Beaverton, OR
  • NPI 1043545031
  NPD (past)
• Adapt Training

  • Multi-Specialty Clinic/Center
  • Beaverton, OR
  • NPI 1770769424
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1265078448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15390 SW MALLARD DR STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9923 SW ARCTIC DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054194",
            "telephone_number": "503-646-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLE",
        "first_name": "MARIAH",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4285",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC194856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "adapttraining.com",
            "affiliation": "N",
            "address_1": "9923 SW Arctic Dr",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970054194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Ryan Stewart
• Tamara Stewart, QMHA
• Stillness and Movement LLC
• Megan Stocks
• Frances Stokley, CSWA
• Courtney Stoltz
• Kaitlyn Stone, LCSW
• Michael Benjamin Stone, MD
• Tresa Stone
• Stones Throw Healing LLC

• Acupuncturist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.