Individual provider Active NPI

Joanna Margaret Dehen, MAO

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1316928591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00593 Issued in OR
Practice address
2143 NE Broadway
Suite 107
Portland, OR 97232-1786
Phone
(503) 750-1333
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00593 OR Primary

Addresses

Primary practice location

2143 NE Broadway
Suite 107
Portland, OR 97232-1786

Mailing address

3133 NE Knott St
Portland, OR 97212-3635
Phone (503) 750-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00593ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316928591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123635",
            "telephone_number": "503-750-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 NE BROADWAY",
            "address_2": "SUITE 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321786",
            "telephone_number": "503-750-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHEN",
        "first_name": "JOANNA",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "MAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00593",
            "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 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.