Colleen Donnelly, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01247 Issued in OR

Practice address

10490 SW Eastridge St
Suite 110C
Portland, OR 97225-5030

Phone

(503) 705-1812

Fax

(888) 869-8920

NPI assigned

Jan 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1427294990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 SW WEST HAVEN DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256753",
            "telephone_number": "503-705-1812",
            "fax_number": "888-869-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10490 SW EASTRIDGE ST",
            "address_2": "SUITE 110C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255030",
            "telephone_number": "503-705-1812",
            "fax_number": "888-869-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "COLLEEN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Elise Donnell, L.C.S.W.
• Zoe Liane Donnell, LCSW
• Megan Donnellan
• Katherine Donnelley, ATC
• Tamela J Donnelly-Gibbs, P.A.
• Joanna Donnelly, L.AC.
• Kimber Donnelly
• Melanie Donnelly
• Ryan Lee Donnelly, DMD
• Stephen Ryan Donnelly, MD

• 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 13, 2015; 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.