Individual provider Active NPI

Brooke Cannon Scott, LAC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1538865902
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC214231 Issued in OR
Practice address
2330 NW Flanders St Ste 101
Portland, OR 97210-3400
Phone
(876) 701-6503
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC214231 OR Primary

Addresses

Primary practice location

2330 NW Flanders St Ste 101
Portland, OR 97210-3400

Mailing address

4036 SE 113TH Ave
Portland, OR 97266-2225
Phone (410) 971-6031

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
AC214231ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Nine Suns LLC Acupuncturist Current Accepting new patients
Kwan Yin Healing Arts Center Acupuncturist Past Accepting new patients

Locations

3115 NE Sandy Blvd
Ste 231
Portland, OR 97232
Phone (503) 701-8766

Organizations & group practices 2

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1538865902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 SE 113TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662225",
            "telephone_number": "410-971-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103400",
            "telephone_number": "876-701-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BROOKE",
        "middle_name": "CANNON",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC214231",
            "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 6, 2023; 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.