NPIMap

Organization Active NPI

Well Within, LLC

  • Acupuncturist
  • Gresham, OR
National Provider Identifier
1316216229
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC156402 Issued in OR
Legal business name
WELL WITHIN, LLC
Practice address
709 NE 5TH St
Gresham, OR 97030
Phone
(503) 734-7508
Fax
(503) 664-4164
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Ms. Andrea C Weber, LAC, MACOMNPI 1053685198
Title
Acupuncturist, Owner
Phone
(503) 734-7508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC156402 OR Primary

Addresses

Primary practice location

709 NE 5TH St
Gresham, OR 97030

Mailing address

541 SE Park Dr
Gresham, OR 97080-7823
Phone (503) 734-7508

Other practice location 1

138 NE 3rd St
Suite 132
Gresham, OR 97030-7439
Phone (503) 734-7508

Other identifiers 1

IdentifierTypeStateIssuer
500698682MedicaidOR

National Provider Directory

National Provider Directory

Locations

138 NE 3rd St
Ste 132
Gresham, OR 97030
Phone (503) 734-7508

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1316216229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SE PARK DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807823",
            "telephone_number": "503-734-7508",
            "fax_number": "503-664-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 NE 5TH ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-734-7508",
            "fax_number": "503-664-4164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 NE 3rd St",
            "address_2": "Suite 132",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307439",
            "country_code": "US",
            "telephone_number": "503-734-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELL WITHIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACUPUNCTURIST, OWNER",
        "authorized_official_telephone_number": "503-734-7508",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC, MACOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC156402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500698682",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.