Advanced Acupuncture Inc2

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ADVANCED ACUPUNCTURE INC2

Doing business as

Advanced Acupuncture Inc1

Practice address

17040 Pilkington Rd Ste 211
Lake Oswego, OR 97035-5587

Phone

(503) 908-0157

Fax

(503) 908-0187

NPI assigned

Dec 17, 2021

Last updated

Mar 4, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVANCED ACUPUNCTURE, INC.As reported in NPPES

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

Authorized official

Name

Nooshin Nikki Medghalchy, DAOM

Title

Owner/Provider

Phone

(503) 908-0157

Specialties & licenses 2

Addresses

Other names 1

• Advanced Acupuncture Inc1 Doing business as

Part of

Advanced Acupuncture Inc

Locations

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.

• Nooshin-Nikki Nikki Medghalchy, LAC

  • Acupuncturist
  • Vancouver, WA
  • NPI 1801876321
  NPD (past)

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1477212488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17040 PILKINGTON RD STE 211",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355587",
            "telephone_number": "503-908-0157",
            "fax_number": "503-908-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17040 PILKINGTON RD STE 211",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355587",
            "telephone_number": "503-908-0157",
            "fax_number": "503-908-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ACUPUNCTURE INC2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED ACUPUNCTURE, INC.",
        "enumeration_date": "2021-12-17",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "MEDGHALCHY",
        "authorized_official_first_name": "NOOSHIN",
        "authorized_official_middle_name": "NIKKI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "503-908-0157",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Acupuncture Inc1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Acupuncture Inc1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 4, 2022; 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.