Organization Active NPI

Advanced Acupuncture & Oriental Medicine, LLC

  • Clinic/Center
  • Tigard, OR
National Provider Identifier
1457819971
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADVANCED ACUPUNCTURE & ORIENTAL MEDICINE, LLC
Practice address
9735 SW Shady LN Ste 306
Tigard, OR 97223-5481
Phone
(503) 573-4239
NPI assigned
Mar 4, 2019
Last updated
Mar 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Jasmine Patel, LACNPI 1407919350
Title
Acupuncturist
Phone
(503) 573-4239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9735 SW Shady LN Ste 306
Tigard, OR 97223-5481

Mailing address

9735 SW Shady LN Ste 306
Tigard, OR 97223-5481
Phone (503) 573-4239

Other names 1

  • Jasmine Patel, MSAOM, LAc Other name

National Provider Directory

National Provider Directory

Locations

9735 SW Shady Ln
Ste 306
Tigard, OR 97223
Phone (503) 343-9828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1457819971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 SW SHADY LN STE 306",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235481",
            "telephone_number": "503-573-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 SW SHADY LN STE 306",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235481",
            "telephone_number": "503-573-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ACUPUNCTURE & ORIENTAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-573-4239",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasmine Patel, MSAOM, LAc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.