Active NPI
Mary Paulin Kloety, LAC.
- Acupuncturist
- Milwaukie, OR
National Provider Identifier
1578740908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01162
- Practice address
- 15631 SE Orville Ave
Milwaukie, OR 97267-3847 - Phone
- (971) 570-3196
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | AC01162 | OR | Primary |
Addresses
Primary practice location
15631 SE Orville Ave
Milwaukie, OR 97267-3847
Mailing address
PO Box 68801
Oak Grove, OR 97268-0801
Phone (971) 570-3196
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 |
|---|---|---|---|
| AC01162 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1578740908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68801",
"city": "OAK GROVE",
"state": "OR",
"postal_code": "972680801",
"telephone_number": "971-570-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15631 SE ORVILLE AVE",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972673847",
"telephone_number": "971-570-3196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOETY",
"first_name": "MARY",
"middle_name": "PAULIN",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.