Organization Active NPI

Stoneburner Acupuncture

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1336665108
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC155999 Issued in OR
Legal business name
STONEBURNER ACUPUNCTURE
Practice address
1135 SE Salmon St Ste 211
Portland, OR 97214-3375
Phone
(503) 784-1660
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Erin Stoneburner, LAC
Title
Owner
Phone
(503) 784-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC155999 OR Primary

Addresses

Primary practice location

1135 SE Salmon St Ste 211
Portland, OR 97214-3375

Mailing address

1135 SE Salmon St Ste 211
Portland, OR 97214-3375
Phone (503) 784-1660

Other identifiers 1

IdentifierTypeStateIssuer
500670041MedicaidOR

Other names 1

  • Stoneburner Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

1135 SE Salmon St
Ste 211
Portland, OR 97214
Phone (503) 784-1660

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336665108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 SE SALMON ST STE 211",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143375",
            "telephone_number": "503-784-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 SE SALMON ST STE 211",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143375",
            "telephone_number": "503-784-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBURNER ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STONEBURNER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-784-1660",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC155999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500670041",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoneburner Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2022; 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.