Organization Active NPI

Blue Turtle Acupuncture LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1295220291
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC00674 Issued in OR
Legal business name
BLUE TURTLE ACUPUNCTURE LLC
Practice address
2738 NE Broadway St
Portland, OR 97232-1723
Phone
(503) 991-8950
Fax
(888) 972-7503
NPI assigned
Jun 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Regenia Gail Benton, LAC
Title
Owner
Phone
(503) 991-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC00674 OR Primary

Addresses

Primary practice location

2738 NE Broadway St
Portland, OR 97232-1723

Mailing address

4838 N Princeton St
Portland, OR 97203-4461
Phone (503) 991-8950

National Provider Directory

National Provider Directory

Locations

2738 NE Broadway St
Portland, OR 97232
Phone (503) 208-5035

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1295220291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 N PRINCETON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034461",
            "telephone_number": "503-991-8950",
            "fax_number": "888-972-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321723",
            "telephone_number": "503-991-8950",
            "fax_number": "888-972-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE TURTLE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "REGENIA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-991-8950",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "AC00674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.