Body & Mind Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01056 Issued in OR

Legal business name

BODY & MIND ACUPUNCTURE

Practice address

11825 SW Greenburg Rd Ste 110
Tigard, OR 97223-6466

Phone

(503) 886-9238

Fax

(866) 818-1133

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sara Jean Johnson, DAOM, L.AC.

Title

Owner/ Acupuncturist

Phone

(503) 886-9238

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1528406683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 SW GREENBURG RD STE 110",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236466",
            "telephone_number": "503-886-9238",
            "fax_number": "866-818-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 SW GREENBURG RD STE 110",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236466",
            "telephone_number": "503-886-9238",
            "fax_number": "866-818-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY & MIND ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/ ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-886-9238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Heather Bloom, LPCA
• Blue Ocean Care LLC
• Dana Lynn Boddy, CRM
• Andrew David Bodmer, PA-C
• Monica D Bodo, EFDA
• Anthony D Body
• Scott B Bodyfelt, DMD
• Heather Boeckel
• Karen Boelling
• Emily Boers, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.