Active NPI
Vivian Linden
- Acupuncturist
- Portland, OR
National Provider Identifier
1487292637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC186781
- Practice address
- 7819 SE Stark St
Portland, OR 97215-2339 - Phone
- (206) 595-8246
- NPI assigned
- Dec 18, 2019
- Last updated
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC186781 | OR | Primary |
Addresses
Primary practice location
7819 SE Stark St
Portland, OR 97215-2339
Mailing address
115 NE Billingher Dr
Portland, OR 97220-5920
Phone (206) 595-8246
Other names 1
- Vivian Jeanette Van Doorn
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC186781 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1487292637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 NE BILLINGHER DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205920",
"telephone_number": "206-595-8246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7819 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152339",
"telephone_number": "206-595-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDEN",
"first_name": "VIVIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC186781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIVIAN",
"last_name": "VAN DOORN",
"middle_name": "JEANETTE",
"credential": "LAC.",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.