Active NPI
Katherine Green Haber, L.AC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1437492543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC161513
- Practice address
- 2706 SE Lincoln St
Portland, OR 97214-5556 - Phone
- (503) 880-5537
- NPI assigned
- Mar 27, 2013
- Last updated
- Mar 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC161513 | OR | Primary |
Addresses
Primary practice location
2706 SE Lincoln St
Portland, OR 97214-5556
Mailing address
2706 SE Lincoln St
Portland, OR 97214-5556
Phone (503) 928-2595
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC161513 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawthorne East Asian Medical Clinic | Acupuncturist | Past | Accepting new patients |
| Laurelhurst Family Clinic | Acupuncturist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8468/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Laurelhurst Family Clinic
- Acupuncturist
- Portland, OR
- NPI 1497274922
-
- Acupuncturist
- Portland, OR
- NPI 1720596117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1437492543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 SE LINCOLN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145556",
"telephone_number": "503-928-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 SE LINCOLN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145556",
"telephone_number": "503-880-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN HABER",
"first_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC161513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.