Organization Active NPI

Talisman Acupuncture LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1295287415
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC175531 Issued in OR
Legal business name
TALISMAN ACUPUNCTURE LLC
Practice address
3024 NE 63Rd Ave
Portland, OR 97213-4510
Phone
(503) 287-9889
Fax
(855) 395-9094
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Beth Ann Mills, LAC
Title
Owner
Phone
(503) 287-9889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC175531 OR Primary

Addresses

Primary practice location

3024 NE 63Rd Ave
Portland, OR 97213-4510

Mailing address

3024 NE 63Rd Ave
Portland, OR 97213-4510
Phone (503) 287-9889

Other identifiers 2

IdentifierTypeStateIssuer
1205295466OtherORPROVIDER NPI
500713157MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1295287415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134510",
            "telephone_number": "503-287-9889",
            "fax_number": "855-395-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134510",
            "telephone_number": "503-287-9889",
            "fax_number": "855-395-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALISMAN ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-287-9889",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "AC175531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1205295466",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500713157",
            "state": "OR"
        }
    ],
    "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 Nov 4, 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.