NPIMap

Organization Active NPI

Kun Bo Dang Acupuncture

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1366817736
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
KUN BO DANG ACUPUNCTURE
Practice address
9011 SW Beaverton Hillsdale Hwy Ste 1E
Portland, OR 97225-2452
Phone
(503) 380-2045
NPI assigned
Dec 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Sung Jin Cheon
Title
Owner
Phone
(503) 380-2045

Specialties & licenses 1

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

Addresses

Primary practice location

9011 SW Beaverton Hillsdale Hwy Ste 1E
Portland, OR 97225-2452

Mailing address

9011 SW Beaverton Hillsdale Hwy Ste 1E
Portland, OR 97225-2452

National Provider Directory

National Provider Directory

Locations

9011 SW Beaverton Hillsdale Hwy
Ste 1E
Portland, OR 97225
Phone (503) 380-2045

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": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1366817736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 SW BEAVERTON HILLSDALE HWY STE 1E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 SW BEAVERTON HILLSDALE HWY STE 1E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252452",
            "telephone_number": "503-380-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUN BO DANG ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "CHEON",
        "authorized_official_first_name": "SUNG JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-380-2045"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 Dec 10, 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.

Verify at the official NPI Registry.