Dawn C Moeller, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

152896 Issued in OR

Practice address

10211 SW Barbur Blvd Ste 205a
Portland, OR 97219-5935

Phone

(503) 688-0648

NPI assigned

Feb 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Dawn Moeller L.Ac. LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1487974077
  NPD (past) Authorized official
• G & L International, Inc.

  • Acupuncturist
  • Beaverton, OR
  • NPI 1679646152
  NPD (past)

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1275865990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 SE TWELVE OAKS ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971239206",
            "telephone_number": "503-688-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 SW BARBUR BLVD STE 205A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195935",
            "telephone_number": "503-688-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "DAWN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "152896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modus Vivendi LLC
• Tina Qian Hong Mody, PHARMD
• Kyla Dawn Moe-Stull
• Sally Marie Moeggenberg, MPT
• Cassandra Moeller, BT
• Ellie Moeller, MD
• Diana Moellering
• Eric Moenter, CRNA
• Susan Vaughn Moerer
• Eirik Kristofer Moergen

• 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 Dec 12, 2016; 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.