Redwood Spring, PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00569 Issued in OR

Legal business name

REDWOOD SPRING, PC

Practice address

704 Cottage St NE
Salem, OR 97301-2410

Phone

(550) 388-1836

Fax

(503) 316-5110

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

C T Holman III, L.AC.

Title

Owner

Phone

(503) 881-8361

Specialties & licenses 1

Addresses

Practitioners 1

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

• Clarence T Holman III, L. AC.

  • Acupuncturist
  • Salem, OR
  • NPI 1043391212
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508909821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 COTTAGE ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012410",
            "telephone_number": "550-388-1836",
            "fax_number": "503-316-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 COTTAGE ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012410",
            "telephone_number": "550-388-1836",
            "fax_number": "503-316-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD SPRING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-881-8361",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Alyssa Reck, RN
• Emily Reding
• Jennifer Rose Redmond
• Mark Redmond, MSW, LCSW
• Carol Anne Redwine
• Aleyna Cecile Reed, PMHNP
• Billie Rene Reed, CADC I
• Brandon Michael Reed, O.D.
• John W Reed
• Rebecca Reed

• Acupuncturist in Salem, OR
• Providers in Salem, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.