NPIMap

Organization Active NPI

Winding Willow Acupuncture & Wellness LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1457724981
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC173991 Issued in OR
Legal business name
WINDING WILLOW ACUPUNCTURE & WELLNESS LLC
Practice address
1532 SE Clinton St
Portland, OR 97202-1130
Phone
(503) 914-2747
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Jennifer Dianne Moody, LACNPI 1093186272
Title
Owner/Acupuncturist
Phone
(503) 913-7883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC173991 OR Primary

Addresses

Primary practice location

1532 SE Clinton St
Portland, OR 97202-1130

Mailing address

1532 SE Clinton St
Portland, OR 97202-1130
Phone (503) 914-2747

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1457724981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 SE CLINTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021130",
            "telephone_number": "503-914-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SE CLINTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021130",
            "telephone_number": "503-914-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDING WILLOW ACUPUNCTURE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-913-7883",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC173991",
            "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 Nov 5, 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.