Jenae Michelle Summerour, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC204932 Issued in OR

Practice address

4847 Meadows Rd Ste 153
Lake Oswego, OR 97035-2626

Phone

(971) 330-8578

Fax

(971) 330-8579

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asula Chiropractic and Wellness Center, Inc.

  • Chiropractor
  • Portland, OR
  • NPI 1245474956

  Acupuncturist

  NPD

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1447500855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22214 S MARILYNS AVE",
            "city": "BEAVERCREEK",
            "state": "OR",
            "postal_code": "970049667",
            "telephone_number": "503-747-9705",
            "fax_number": "503-747-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 MEADOWS RD STE 153",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352626",
            "telephone_number": "971-330-8578",
            "fax_number": "971-330-8579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 NW Marshall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972093295",
            "country_code": "US",
            "telephone_number": "503-719-5335",
            "fax_number": "503-719-5334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMEROUR",
        "first_name": "JENAE",
        "middle_name": "MICHELLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12844",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC204932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Malkin Counseling
• Jesse Stuckey
• Stephanie Stupfel
• Martin Edward Sudar, LPTA
• Azhar Sultanova
• Kendra Joan Summers, PHD
• Courtney Renae Summerskill, A.R.N.P.
• Summit Orthopaedics, LLP
• Sunbeam Center
• Sundance Counseling West LLC

• Acupuncturist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.