NPIMap

Organization Active NPI

Yibin Huang Lac LLC

  • Health Maintenance Organization
  • Portland, OR
National Provider Identifier
1558754630
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AC170404 Issued in OR
Legal business name
YIBIN HUANG LAC LLC
Practice address
11111 NE Glisan St
Portland, OR 97220-2228
Phone
(503) 688-9399
NPI assigned
Mar 12, 2015
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Yibin Huang
Title
Acupuncturist
Phone
(503) 688-9399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X AC170404 OR Primary

Addresses

Primary practice location

11111 NE Glisan St
Portland, OR 97220-2228

Mailing address

11111 NE Glisan St
Portland, OR 97220-2228

National Provider Directory

National Provider Directory
Tax ID family
Yibin Huang Lac LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1558754630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202228",
            "telephone_number": "503-688-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIBIN HUANG LAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "YIBIN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-688-9399"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "AC170404",
            "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 Mar 12, 2015; 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.