Vibrant Life Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC159474 Issued in OR

Legal business name

VIBRANT LIFE ACUPUNCTURE

Practice address

15962 Boones Ferry Rd
Suite 202
Lake Oswego, OR 97035-4351

Phone

(503) 515-7702

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Stacy Spence

Title

Acupuncturist

Phone

(503) 515-7702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1386009348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15962 BOONES FERRY RD",
            "address_2": "SUITE 202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354351",
            "telephone_number": "503-515-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15962 BOONES FERRY RD",
            "address_2": "SUITE 202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354351",
            "telephone_number": "503-515-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT LIFE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-515-7702"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC159474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osman David Vasquez, LMT
• Jason M Vaughn, PT
• Lindsay Verboort, DC
• Sabrina Vernier, LMT
• Deborah Sue Verzasconi
• Alexandria Vidalon, MS, CCC-SLP
• Jason Jeremy Vila, P.T.
• Jean Villagrana-Gutierrez
• Jeanette Angie Villanueva
• Vitale LLC

• Acupuncturist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.