Green Lotus Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC153318 Issued in OR

Legal business name

GREEN LOTUS ACUPUNCTURE, LLC

Practice address

2100 SE Lake Rd Ste 1
Milwaukie, OR 97222-7759

Phone

(503) 789-7661

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Mary Jean Brinkman

Title

Owner

Phone

(503) 789-7661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1396092573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 SE LAMBERT ST APT 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026369",
            "telephone_number": "503-789-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE LAKE RD STE 1",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227759",
            "telephone_number": "503-789-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LOTUS ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN",
        "authorized_official_first_name": "MARY JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-789-7661"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC153318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Madden Grasvik, D.M.D.
• Celesta Graves, REGISTERED NURSE
• Jeffrey Jay Graves, RPH
• Sandra Lynne Graves
• Eeva S Gray, RD, CDE
• Celina Green, CERTIFIED OCCUPATION
• Emily Green
• Susan Mae Green, PHYSICAL THERAPIST A
• Jennifer Lynn Gregg, M.A., R.N.
• Sarah J. Gregory

• Acupuncturist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.