Sandra E. Taddesse, L.A.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00663 Issued in OR

Practice address

506 NE 49TH Ave
Portland, OR 97292

Phone

(503) 232-2500

Fax

(503) 232-2700

NPI assigned

Feb 27, 2007

Last updated

Nov 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1285761585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16402",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97292",
            "telephone_number": "503-232-2500",
            "fax_number": "503-232-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 NE 49TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97292",
            "telephone_number": "503-232-2500",
            "fax_number": "503-232-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDESSE",
        "first_name": "SANDRA",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "L.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00663",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7049",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabor View Health and Wellness
• Katherine Ann Tacker, M.D.
• Camille Tackett, PHARMD.
• Tactus Massage Therapies
• Amanda Rose Taddeo, LMT
• Simegn Getachew Tadese
• Hunter Tadlock, DC
• Julia Tafea
• Anna Maria Taff
• Melinda Taft

• 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 Nov 15, 2013; 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.