NPIMap

Organization Active NPI

Erica Robyn Burley Mstom Lac

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1356072987
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ERICA ROBYN BURLEY MSTOM LAC
Practice address
819 SE Morrison St Ste 140
Portland, OR 97214-6309
Phone
(503) 862-8835
Fax
(888) 972-4948
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Dr. Erica Robyn Burley, DSOM, LACNPI 1376927277
Title
Owner
Phone
(503) 862-8835

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

819 SE Morrison St Ste 140
Portland, OR 97214-6309

Mailing address

819 SE Morrison St Ste 140
Portland, OR 97214-6309
Phone (503) 862-8835

Other identifiers 1

IdentifierTypeStateIssuer
500730788MedicaidOR

Other names 1

  • Silver Lining Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

819 SE Morrison St
Ste 140
Portland, OR 97214
Phone (503) 862-8835

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": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1356072987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 140",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146309",
            "telephone_number": "503-862-8835",
            "fax_number": "888-972-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 140",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146309",
            "telephone_number": "503-862-8835",
            "fax_number": "888-972-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA ROBYN BURLEY MSTOM LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "BURLEY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-862-8835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500730788",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Lining 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 Jun 23, 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.