Active NPI
Devan Laura Torbert, LAC
- Acupuncturist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC190431
- Practice address
- 1836 NE 7TH Ave Ste 103
Portland, OR 97212-3996 - Phone
- (503) 433-5702
- NPI assigned
- Feb 22, 2019
- Last updated
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC190431 | OR | Primary |
Addresses
Primary practice location
1836 NE 7TH Ave Ste 103
Portland, OR 97212-3996
Mailing address
3526 NE 57TH Ave
Portland, OR 97213-1737
Phone (503) 335-9440
Other practice location 1
3526 NE 57th Ave
Portland, OR 97213-1737
Phone (503) 335-9440
Other practice location 2
15 N Morris St
Portland, OR 97227-1541
Phone (503) 230-9875
Other practice location 3
17645 NW Saint Helens Rd
Portland, OR 97231-1729
Phone (503) 621-1069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500760087 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC190431 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woven Wellness LLC | Acupuncturist | Current | Accepting new patients |
Locations
6511 N Interstate Ave
Portland, OR 97217
Phone (503) 433-5702
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Portland, OR
- NPI 1841897550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1538626825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3526 NE 57TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131737",
"telephone_number": "503-335-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 NE 7TH AVE STE 103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123996",
"telephone_number": "503-433-5702"
}
],
"practiceLocations": [
{
"address_1": "3526 NE 57th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972131737",
"country_code": "US",
"telephone_number": "503-335-9440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 N Morris St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271541",
"country_code": "US",
"telephone_number": "503-230-9875",
"fax_number": "503-230-9877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17645 NW Saint Helens Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972311729",
"country_code": "US",
"telephone_number": "503-621-1069",
"fax_number": "503-621-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORBERT",
"first_name": "DEVAN",
"middle_name": "LAURA",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC190431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500760087",
"state": "OR"
}
],
"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 Jan 23, 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.