NPIMap

Organization Active NPI

Integrate Health & Wellness: PDX, LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1518207976
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC157561 Issued in OR
Legal business name
INTEGRATE HEALTH & WELLNESS: PDX, LLC
Practice address
1804 NE Martin Luther King Blvd
Portland, OR 97212-3980
Phone
(928) 225-0896
NPI assigned
Feb 22, 2013
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Sean Orlando, L.AC.NPI 1073880217
Title
President
Phone
(928) 225-0896

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC157561 OR Primary

Addresses

Primary practice location

1804 NE Martin Luther King Blvd
Portland, OR 97212-3980

Mailing address

1725 NE Schuyler St
Portland, OR 97212-4557
Phone (928) 225-0896

National Provider Directory

National Provider Directory

Locations

1804 NE Martin Luther King Blvd
Portland, OR 97212
Phone (928) 225-0896

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1518207976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 NE SCHUYLER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124557",
            "telephone_number": "928-225-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 NE MARTIN LUTHER KING BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123980",
            "telephone_number": "928-225-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATE HEALTH & WELLNESS: PDX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-225-0896",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC157561",
            "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 Feb 22, 2013; 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.