Jade Dragonfly Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC90017 Issued in OR

Legal business name

JADE DRAGONFLY ACUPUNCTURE, LLC

Doing business as

Shalena Havens

Practice address

310 SW 4TH Ave
Suite 1008
Portland, OR 97204-2345

Phone

(503) 886-9708

Fax

(503) 222-1819

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Shalena Dawn Havens, L AC

Title

President

Phone

(503) 886-9708

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shalena Havens Doing business as

Locations

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1417101437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SW 4TH AVE",
            "address_2": "SUITE 1008",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042345",
            "telephone_number": "503-886-9708",
            "fax_number": "503-222-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SW 4TH AVE",
            "address_2": "SUITE 1008",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042345",
            "telephone_number": "503-886-9708",
            "fax_number": "503-222-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE DRAGONFLY ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "HAVENS",
        "authorized_official_first_name": "SHALENA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-886-9708",
        "authorized_official_credential": "L AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC90017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851410070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalena Havens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry A Jacoshenk, PA-C
• Nathalie J. Jacqmotte, MD
• Jacqueline Engel, ND, LMT
• Jade Acupuncture
• Jade Chiropractic PC
• Christina Mandrup Jaderholm, D.C.
• Pontus L Jaderholm, PHARMD
• Hannah Kathleen Jaeger
• Margarete Jaeger
• Nikolas Prescott Jaeger

• 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 Nov 5, 2008; 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.