Organization Active NPI

Rachel Eppinga ND, Lac, Inc.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1386818045
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00757 Issued in OR
Legal business name
RACHEL EPPINGA ND, LAC, INC.
Practice address
3821 NE MLK Blvd
Portland, OR 97212-1114
Phone
(503) 954-1660
Fax
(971) 266-8183
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Dr. Rachel Anne Eppinga, ND, LAC.
Title
Owner/President
Phone
(503) 515-7352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00757 OR Primary

Addresses

Primary practice location

3821 NE MLK Blvd
Portland, OR 97212-1114

Mailing address

3821 NE MLK Blvd
Portland, OR 97212-1114
Phone (503) 954-1660

Other identifiers 1

IdentifierTypeStateIssuer
1750334439OtherORTYPE 1 NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1386818045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 NE MLK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121114",
            "telephone_number": "503-954-1660",
            "fax_number": "971-266-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 NE MLK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121114",
            "telephone_number": "503-954-1660",
            "fax_number": "971-266-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL EPPINGA ND, LAC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "EPPINGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-515-7352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1750334439",
            "state": "OR"
        }
    ],
    "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 Mar 28, 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.