Individual provider Active NPI

Mia M Neuse, MILENA NEUSE

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1396861456
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00963 Issued in OR
Practice address
7925 SE Stark St
Portland, OR 97215-2341
Phone
(503) 539-9180
Fax
(503) 467-4127
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00963 OR Primary

Addresses

Primary practice location

7925 SE Stark St
Portland, OR 97215-2341

Mailing address

212 SE 79TH Ave
Portland, OR 97215-1515
Phone (503) 539-9180

Other practice location 1

212 SE 79th Ave
Portland, OR 97215
Phone (503) 539-9180

Other names 1

  • Milena Neuse Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00963ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1396861456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SE 79TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151515",
            "telephone_number": "503-539-9180",
            "fax_number": "503-459-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152341",
            "telephone_number": "503-539-9180",
            "fax_number": "503-467-4127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 SE 79th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97215",
            "country_code": "US",
            "telephone_number": "503-539-9180",
            "fax_number": "503-459-4183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUSE",
        "first_name": "MIA",
        "middle_name": "M",
        "credential": "MILENA NEUSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILENA",
            "last_name": "NEUSE",
            "credential": "MILENA NEUSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 11, 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.