Active NPI
Nura Carrie Wilson Khan, L.AC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1558669408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00409
- Practice address
- 6550 SE Morrison St
Portland, OR 97215-2015 - Phone
- (503) 804-1547
- NPI assigned
- Mar 2, 2011
- Last updated
- Mar 2, 2011
- 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 | AC00409 | OR | Primary |
Addresses
Primary practice location
6550 SE Morrison St
Portland, OR 97215-2015
Mailing address
6550 SE Morrison Street
Portland, IL 97215-2015
Phone (503) 804-1547
Other names 1
- Carrie Wilson
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 |
|---|---|---|---|
| AC00409 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1558669408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 SE MORRISON STREET",
"city": "PORTLAND",
"state": "IL",
"postal_code": "972152015",
"telephone_number": "503-804-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 SE MORRISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152015",
"telephone_number": "503-804-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "NURA CARRIE",
"middle_name": "WILSON",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "WILSON",
"credential": "L.AC.",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.