Ryan Elizabeth McLaughlin, L.AC. – Acupuncturist

Key facts

NPI: 1396138152
Entity type: Individual (NPI type 1)
Primary specialty: Acupuncturist 171100000X
License: AC170836 (OR)
Practice address: 39420 SE Gordon Creek Rd
Corbett, OR 97019-8750
Phone: (503) 695-2977
NPI assigned: Mar 17, 2015
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hai Shan Center Inc Acupuncturist · Corbett, OR · NPI 1639367899

NPD (past) ACUPUNCTURIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
AC170836	OR	MD	Acupuncturist

Practice roles

Organization	Specialty	Status	New patients
Hai Shan Center Inc	Acupuncturist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Acupuncturist	171100000X	AC170836	OR	Yes

Addresses

Primary practice location

39420 SE Gordon Creek Rd
Corbett, OR 97019-8750

Mailing address

3351 N Halleck St
Portland, OR 97217-7234
Phone (484) 767-8617

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2015.

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1396138152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 N HALLECK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177234",
            "telephone_number": "484-767-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39420 SE GORDON CREEK RD",
            "city": "CORBETT",
            "state": "OR",
            "postal_code": "970198750",
            "telephone_number": "503-695-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "RYAN",
        "middle_name": "ELIZABETH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC170836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbett, OR

All providers in Corbett, OR · Acupuncturist in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.