Tabor View Health and Wellness

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC159736 Issued in OR

Legal business name

TABOR VIEW HEALTH AND WELLNESS

Practice address

6018 SE Stark St
Portland, OR 97215-1990

Phone

(503) 808-9145

Fax

(503) 473-8085

NPI assigned

Jun 24, 2015

Organization subpart

No

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

Authorized official

Name

Andrea Lynn Peruzzi, LAC

Title

Owner, Acupuncturist

Phone

(503) 758-3579

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1285016451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151990",
            "telephone_number": "503-808-9145",
            "fax_number": "503-473-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151990",
            "telephone_number": "503-808-9145",
            "fax_number": "503-473-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR VIEW HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "PERUZZI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-758-3579",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC159736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yedidya Tabanpour, ACUPUNCTURIST
• John Philip Tabb
• Nicole C Tabbal, AGACNP
• Wendie Lee Taber, CADC II
• Tabor Pediatric Physical Therapy LLC
• Katherine Ann Tacker, M.D.
• Camille Tackett, PHARMD.
• Tactus Massage Therapies
• Amanda Rose Taddeo, LMT
• Sandra E. Taddesse, L.A.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 Jun 24, 2015; 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.