Active NPI
Jennifer A Conjerti, M.AC.O.M, , L.AC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1336343094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01039
- Practice address
- 6235 E Burnside St
Portland, OR 97215-1312 - Phone
- (503) 984-4748
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01039 | OR | Primary |
Addresses
Primary practice location
6235 E Burnside St
Portland, OR 97215-1312
Mailing address
6235 E Burnside St
Portland, OR 97215-1312
Phone (503) 984-4748
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC01039 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jen Conjerti Acupuncture | Current | Accepting new patients | |
| Michelle Reynolds | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Portland, OR
- NPI 1003607581
-
- Acupuncturist
- Portland, OR
- NPI 1851558217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1336343094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151312",
"telephone_number": "503-984-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6235 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151312",
"telephone_number": "503-984-4748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONJERTI",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "M.AC.O.M, , L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01039",
"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 Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.