NPIMap

Organization Active NPI

Patricia Hallam, Lac, LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1326205709
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AC00940 Issued in OR
Legal business name
PATRICIA HALLAM, LAC, LLC
Practice address
9900 SW Wilshire St
Suite 190-B
Portland, OR 97225-5035
Phone
(503) 421-9339
Fax
(503) 297-3827
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Patricia Hallam, L.AC.NPI 1710937909
Title
Licensed Acupuncturist
Phone
(503) 421-9339

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
Health Service Clinic/Center 261QH0100X AC00940 OR Primary

Addresses

Primary practice location

9900 SW Wilshire St
Suite 190-B
Portland, OR 97225-5035

Mailing address

9900 SW Wilshire St
Suite 190-B
Portland, OR 97225-5035
Phone (503) 421-9339

National Provider Directory

National Provider Directory

Locations

9900 SW Wilshire St
Ste 190B
Portland, OR 97225
Phone (503) 421-9339

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1326205709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW WILSHIRE ST",
            "address_2": "SUITE 190-B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255035",
            "telephone_number": "503-421-9339",
            "fax_number": "503-297-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SW WILSHIRE ST",
            "address_2": "SUITE 190-B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255035",
            "telephone_number": "503-421-9339",
            "fax_number": "503-297-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA HALLAM, LAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "HALLAM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-421-9339",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "AC00940",
            "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 May 21, 2008; 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.