NPIMap

Organization Active NPI

Forest Mountain Corporation

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1326548892
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC780 Issued in OR
Legal business name
FOREST MOUNTAIN CORPORATION
Practice address
3939 NE Hancock St Ste 217
Portland, OR 97212-5321
Phone
(503) 419-8025
Fax
(506) 288-7877
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Shinichi Moriyama, L.AC.NPI 1538132006
Title
Practitioner
Phone
(503) 419-8025

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 AC780 OR Primary

Addresses

Primary practice location

3939 NE Hancock St Ste 217
Portland, OR 97212-5321

Mailing address

3939 NE Hancock St Ste 217
Portland, OR 97212-5321
Phone (503) 419-8025

National Provider Directory

National Provider Directory

Locations

3939 NE Hancock St
Ste 217
Portland, OR 97212
Phone (503) 419-8025

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": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1326548892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 NE HANCOCK ST STE 217",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125321",
            "telephone_number": "503-419-8025",
            "fax_number": "506-288-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 NE HANCOCK ST STE 217",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125321",
            "telephone_number": "503-419-8025",
            "fax_number": "506-288-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST MOUNTAIN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "MORIYAMA",
        "authorized_official_first_name": "SHINICHI",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "503-419-8025",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC780",
            "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 Feb 20, 2018; 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.