Organization Active NPI

PJG Enterprises, Inc

  • Acupuncturist
  • Hillsboro, OR
National Provider Identifier
1558719153
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC174799 Issued in OR
Legal business name
PJG ENTERPRISES, INC
Practice address
5295 NE Elam Young Pkwy Ste 160
Hillsboro, OR 97124-7573
Phone
(503) 844-4325
Fax
(503) 400-7984
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Patrick Gazzini, LAC.NPI 1174994867
Title
Owner
Phone
(914) 282-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC174799 OR Primary

Addresses

Primary practice location

5295 NE Elam Young Pkwy Ste 160
Hillsboro, OR 97124-7573

Mailing address

5295 NE Elam Young Pkwy Ste 160
Hillsboro, OR 97124-7573
Phone (503) 844-4325

Other names 1

  • Hillsboro Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

5295 NE Elam Young Pkwy
Ste 160
Hillsboro, OR 97124
Phone (503) 844-4325

10330 SE 32nd Ave
Ste 120
Milwaukie, OR 97222
Phone (503) 659-8900

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1558719153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 NE ELAM YOUNG PKWY STE 160",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247573",
            "telephone_number": "503-844-4325",
            "fax_number": "503-400-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 NE ELAM YOUNG PKWY STE 160",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247573",
            "telephone_number": "503-844-4325",
            "fax_number": "503-400-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJG ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "GAZZINI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-282-9300",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC174799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsboro Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.