Starside Healing Arts

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01160 Issued in OR

Legal business name

STARSIDE HEALING ARTS

Practice address

1308 NW 20TH Ave
Suite 10
Portland, OR 97209-1607

Phone

(503) 956-0912

Fax

(503) 715-4923

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Charles Rachel Grey, LAC, LMTNPI 1932373842

Title

Owner

Phone

(503) 956-0912

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Rachel Grey, LAC LMT

  • Acupuncturist
  • Portland, OR
  • NPI 1932373842
  NPD (past) Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1275768434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 NW 20TH AVE",
            "address_2": "SUITE 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091607",
            "telephone_number": "503-956-0912",
            "fax_number": "503-715-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 NW 20TH AVE",
            "address_2": "SUITE 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091607",
            "telephone_number": "503-956-0912",
            "fax_number": "503-715-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARSIDE HEALING ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-956-0912",
        "authorized_official_credential": "LAC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Starr, M.D.
• Kedrick Starr
• Laura Starr, L.M.T.
• Marlin Douglas Starr, LMT
• Vitaly Starr, LIC. TATTOO ARTIST
• Arianna Staruch, ND
• Venessa Stas, MD
• Paul M. Stasik, O.D.
• Emily Catherine Stasko, MPH, PHD
• Thomas Robert Stassen, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.