Organization Active NPI

Dawn Moeller L.Ac. LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1487974077
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
152896 Issued in OR
Legal business name
DAWN MOELLER L.AC. LLC
Practice address
10211 SW Barbur Blvd Ste 205a
Portland, OR 97219-5935
Phone
(503) 688-0648
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Dawn Moeller, L.AC.NPI 1275865990
Title
Licensed Acupuncturist
Phone
(503) 688-0648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 152896 OR Primary

Addresses

Primary practice location

10211 SW Barbur Blvd Ste 205a
Portland, OR 97219-5935

Mailing address

3758 SE Twelve Oaks St
Hillsboro, OR 97123-9206
Phone (503) 688-0648

National Provider Directory

National Provider Directory

Locations

10211 SW Barbur Blvd
Ste 205A
Portland, OR 97219
Phone (503) 688-0648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1487974077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 SE TWELVE OAKS ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971239206",
            "telephone_number": "503-688-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 SW BARBUR BLVD STE 205A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195935",
            "telephone_number": "503-688-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN MOELLER L.AC. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-688-0648",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "152896",
            "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 Dec 12, 2016; 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.