Organization Active NPI

Laughing Birch Clinic

  • Mechanotherapist
  • Eugene, OR
National Provider Identifier
1548908296
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
Legal business name
LAUGHING BIRCH CLINIC
Practice address
260 E 15TH Ave Ste F
Eugene, OR 97401-4177
Phone
(541) 914-5883
NPI assigned
May 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Ms. Mia Baki, LMT
Title
Owner
Phone
(541) 914-5883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X Primary

Addresses

Primary practice location

260 E 15TH Ave Ste F
Eugene, OR 97401-4177

Mailing address

260 E 15TH Ave Ste F
Eugene, OR 97401-4177
Phone (541) 914-5883

National Provider Directory

National Provider Directory
Tax ID family
Laughing Birch Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1548908296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E 15TH AVE STE F",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014177",
            "telephone_number": "541-914-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E 15TH AVE STE F",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014177",
            "telephone_number": "541-914-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUGHING BIRCH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "BAKI",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-914-5883",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.