Individual provider Active NPI

Elizabeth Ann Zenger, PH.D., L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1477684462
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00638 Issued in OR
Practice address
811 NW 20TH Ave Ste 203
Portland, OR 97209-1452
Phone
(503) 227-2127
NPI assigned
Mar 8, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00638 OR Primary

Addresses

Primary practice location

811 NW 20TH Ave Ste 203
Portland, OR 97209-1452

Mailing address

811 NW 20TH Ave Ste 203
Portland, OR 97209-1452
Phone (503) 227-2127

Other practice location 1

300 NW Wallula Ave
Gresham, OR 97030-5411
Phone (503) 491-2299

Other practice location 2

300 NW Wallula Ave
Gresham, OR 97030-5411
Phone (503) 491-2299

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC00638ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Works Acupuncture, PC Acupuncturist PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477684462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 NW 20TH AVE STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091452",
            "telephone_number": "503-227-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NW 20TH AVE STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091452",
            "telephone_number": "503-227-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 NW Wallula Ave",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305411",
            "country_code": "US",
            "telephone_number": "503-491-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 NW Wallula Ave",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305411",
            "country_code": "US",
            "telephone_number": "503-491-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZENGER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PH.D., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00638",
            "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 Mar 17, 2018; 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.