Active NPI
Jennifer M Ward, LAC
- Acupuncturist
- Lake Oswego, OR
National Provider Identifier
1356730956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC170268
- Practice address
- 4847 Meadows Rd
Suite 153
Lake Oswego, OR 97035-2509 - Phone
- (503) 719-5335
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | AC170268 | OR | Primary |
Addresses
Primary practice location
4847 Meadows Rd
Suite 153
Lake Oswego, OR 97035-2509
Mailing address
3970 N Interstate Ave
Unit 309
Portland, OR 97227-1082
Phone (917) 701-5678
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 |
|---|---|---|---|
| AC170268 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asula Chiropractic and Wellness Center, Inc. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1356730956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3970 N INTERSTATE AVE",
"address_2": "UNIT 309",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271082",
"telephone_number": "917-701-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4847 MEADOWS RD",
"address_2": "SUITE 153",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352509",
"telephone_number": "503-719-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC170268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.