Hawthorne Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC164280 Issued in OR

Legal business name

HAWTHORNE ACUPUNCTURE, LLC

Practice address

4531 SE Belmont St Ste 203
Portland, OR 97215-1675

Phone

(503) 236-9609

Fax

(503) 236-2906

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Connie Jan, L.ACNPI 1043633738

Title

Acupuncturist

Phone

(503) 236-9609

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Jan, L.AC

  • Acupuncturist
  • Portland, OR
  • NPI 1043633738
  NPD Authorized official

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1386027050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 SE BEMONT ST",
            "address_2": "STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151675",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 SE BELMONT ST STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151675",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-236-9609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC164280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500689108",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa Maureen Hawley, PT
• Kirsten Sage Hawley
• Megan Ashley Hawley
• Michelle Coreen Hawley, R.D. L.D.
• Allison Marie Haws, BPH
• Hawthorne Chiropractic PC
• Hawthorne East Asian Medical Clinic
• Hawthorne Vision Center PC
• Hawthorne Wellness Center
• April Marie Hawthorne, PTA

• 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 Jul 26, 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.