Immersion Enterprises LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

IMMERSION ENTERPRISES LLC

Practice address

1221 SE Madison St
Portland, OR 97214-3890

Phone

(503) 719-4806

NPI assigned

May 9, 2014

Organization subpart

No

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

Authorized official

Name

Gregory Lynn Nigh, ND/LAC

Title

Owner

Phone

(503) 719-4806

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1427469642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143890",
            "telephone_number": "503-719-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143890",
            "telephone_number": "503-719-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMERSION ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "NIGH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-719-4806",
        "authorized_official_credential": "ND/LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lauren Imbesi, MD
• Chandra Maya Imel, LMT
• Thomas Everette Imig, C.D.P.
• Bizuayehu Geremew Imiru
• Amy Elizabeth Imkamp, M.S.,CCC-SLP
• Impact Chiropractic
• Impact Chiropractic
• Impact NW
• Impact NW
• Brandie Lynne Imperial, LCSW, CADCI

• 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 May 12, 2014; 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.