Kimberly Dornan Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00534 Issued in OR

Legal business name

KIMBERLY DORNAN ACUPUNCTURE, LLC

Practice address

3024 NE 63Rd Ave
Portland, OR 97213-4510

Phone

(503) 771-7441

Fax

(503) 287-9899

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly E Dornan, L.AC.

Title

Sole Member

Phone

(503) 771-7441

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Dornan, L.Ac. Doing business as

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1346525995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134510",
            "telephone_number": "503-771-7441",
            "fax_number": "503-287-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134510",
            "telephone_number": "503-771-7441",
            "fax_number": "503-287-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY DORNAN ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "DORNAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "503-771-7441",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Dornan, L.Ac.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sadie Alexandra Kimball
• Terreance Kimber
• Ellen Laura Kimberley, LMT
• Kimberly Ann Privitera, PC
• Kimberly Daglen, LLC
• Anne Kimberly, FNP-C
• Brent P Kimberly, DO
• Elizabeth Scheeler Kimberly
• Autumn Kimble
• Valerie Kimbrough, PA

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.