Individual provider Active NPI

John Wo, L. AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1467094110
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
718 SW Alder St Ste 218
Portland, OR 97205-3423
Phone
(503) 704-7588
NPI assigned
Oct 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

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

Addresses

Primary practice location

718 SW Alder St Ste 218
Portland, OR 97205-3423

Mailing address

4931 Mana PL
Honolulu, HI 96816-4009
Phone (808) 732-2699

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL johnwowo@gmail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1467094110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 MANA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164009",
            "telephone_number": "808-732-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SW ALDER ST STE 218",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053423",
            "telephone_number": "503-704-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WO",
        "first_name": "JOHN",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "johnwowo@gmail.com",
            "affiliation": "N",
            "address_1": "718 SW Alder St Ste 218",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972053423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 15, 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.