Stephanie Eastin, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

156812 Issued in OR

Practice address

223 E Powell Blvd
Gresham, OR 97030-7605

Phone

(503) 667-1500

Fax

(503) 893-3045

NPI assigned

Apr 25, 2012

Last updated

Dec 21, 2023By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://ehr.charmtracker.com/api/ehr/v1/fhir

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.

• Nuwa Integrative Wellness, LLC

  • Health Service Clinic/Center
  • Gresham, OR
  • NPI 1356110126

  Acupuncturist

  NPD Authorized official
• Herrhythm Acupuncture and Reproductive Wellness, LLC

  • Acupuncturist
  • Gresham, OR
  • NPI 1952074833
  NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1316205511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 SE PARK DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807825",
            "telephone_number": "608-769-5135",
            "fax_number": "503-893-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307605",
            "telephone_number": "503-667-1500",
            "fax_number": "503-893-3045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 NE Broadway St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321820",
            "country_code": "US",
            "telephone_number": "971-266-0251",
            "fax_number": "503-284-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTIN",
        "first_name": "STEPHANIE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2023-12-21",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "156812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "156812",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ehr.charmtracker.com/api/ehr/v1/fhir",
            "affiliation": "N",
            "endpointDescription": "EHR software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "223 E Powell Blvd",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970307605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.