Amy Brose Mendenhall, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00819 Issued in OR

Practice address

20510 SW Roy Rogers Rd
Building a, Suite 100
Sherwood, OR 97140-9319

Phone

(503) 810-5333

Fax

(503) 906-3586

NPI assigned

Dec 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sherwood Acupuncture, LLC

  dba Sherwood Acupuncture

  • Clinic/Center
  • Sherwood, OR
  • NPI 1700045812
  Authorized official Same address or phone

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306901343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20510 SW ROY ROGERS RD",
            "address_2": "BUILDING A, SUITE 100",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409319",
            "telephone_number": "503-810-5333",
            "fax_number": "503-906-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20510 SW ROY ROGERS RD",
            "address_2": "BUILDING A, SUITE 100",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409319",
            "telephone_number": "503-810-5333",
            "fax_number": "503-906-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSE MENDENHALL",
        "first_name": "AMY",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.