Active NPI
Polly Maliongas, DIPL. OM, LAC
- Acupuncturist
- Oregon City, OR
National Provider Identifier
1275735839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACO1078
- Practice address
- 419 Center St # 203
Oregon City, OR 97045-2211 - Phone
- (503) 516-5321
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACO1078 | OR | Primary |
Addresses
Primary practice location
419 Center St # 203
Oregon City, OR 97045-2211
Mailing address
PO Box 1529
Fairview, OR 97024-1529
Phone (503) 734-6743
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACO1078 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1275735839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1529",
"city": "FAIRVIEW",
"state": "OR",
"postal_code": "970241529",
"telephone_number": "503-734-6743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 CENTER ST # 203",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452211",
"telephone_number": "503-516-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIONGAS",
"first_name": "POLLY",
"credential": "DIPL. OM, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "ACO1078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.