Active NPI
Lagniappe Acupuncture LLC
- Health Maintenance Organization
- Camas, WA
National Provider Identifier
1275947475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- AC165105
- Legal business name
- LAGNIAPPE ACUPUNCTURE LLC
- Practice address
- 839 NW Sacajawea PL
Camas, WA 98607-4104 - Phone
- (504) 451-1666
- NPI assigned
- Jun 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Atchley, L.AC.
- Title
- Owner
- Phone
- (504) 451-1666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | AC165105 | OR | Primary |
Addresses
Primary practice location
839 NW Sacajawea PL
Camas, WA 98607-4104
Mailing address
8040 NE Sandy Blvd Ste 100a
Portland, OR 97213-7100
Phone (504) 451-1666
National Provider Directory
National Provider DirectoryLocations
8040 NE Sandy Blvd
Ste 100A
Portland, OR 97213
Phone (503) 841-6079
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Portland, OR
- NPI 1639582885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402876800000",
"number": "1275947475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 NE SANDY BLVD STE 100A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972137100",
"telephone_number": "504-451-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 NW SACAJAWEA PL",
"city": "CAMAS",
"state": "WA",
"postal_code": "986074104",
"telephone_number": "504-451-1666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAGNIAPPE ACUPUNCTURE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-16",
"last_updated": "2014-06-16",
"status": "A",
"authorized_official_last_name": "ATCHLEY",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-451-1666",
"authorized_official_credential": "L.AC."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "OR",
"license": "AC165105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.