Individual provider Active NPI

Mateo Steffeck

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1497148977
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC170305 Issued in OR
Practice address
4160 SE Division St
Portland, OR 97202-1647
Phone
(503) 564-0179
NPI assigned
Mar 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC170305 OR Primary

Addresses

Primary practice location

4160 SE Division St
Portland, OR 97202-1647

Mailing address

27818 SW Grahams Ferry Rd
Sherwood, OR 97140-8419

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

LicenseStateTypeSpecialty
AC170305ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Acupuncture Acupuncturist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1497148977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27818 SW GRAHAMS FERRY RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021647",
            "telephone_number": "503-564-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFECK",
        "first_name": "MATEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC170305",
            "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 9, 2015; 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.