Active NPI
Corinne Leblanc, LAC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1588040653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 173081
- Practice address
- 2305 SE 50TH Ave.
Suite 200
Portland, OR 97215 - Phone
- (971) 407-3428
- NPI assigned
- Jul 30, 2015
- Last updated
- Feb 24, 2020
- 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 | 173081 | OR | Primary |
Addresses
Primary practice location
2305 SE 50TH Ave.
Suite 200
Portland, OR 97215
Mailing address
3308 SE Lincoln St
Portland, OR 97214
Phone (971) 337-7387
Other practice location 1
2403 SE Monroe St
Suite A3
Milwaukie, OR 97222-7646
Phone (503) 860-8998
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 |
|---|---|---|---|
| 173081 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Pediatric Acupuncture | Current | Accepting new patients | |
| Nourishing Medicine | Acupuncturist | Past | Accepting new patients |
| Nourishing Medicine, Inc. | Acupuncturist | Past | Accepting new patients |
Locations
2305 SE 50th Ave
Ste 200
Portland, OR 97215
Phone (503) 765-5711
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Portland, OR
- NPI 1992315626
-
- Acupuncturist
- Portland, OR
- NPI 1558907436
-
- Acupuncturist
- Portland, OR
- NPI 1861784035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1588040653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 SE LINCOLN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97214",
"telephone_number": "971-337-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 SE 50TH AVE.",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97215",
"telephone_number": "971-407-3428"
}
],
"practiceLocations": [
{
"address_1": "2403 SE Monroe St",
"address_2": "Suite A3",
"address_purpose": "LOCATION",
"city": "Milwaukie",
"state": "OR",
"postal_code": "972227646",
"country_code": "US",
"telephone_number": "503-860-8998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBLANC",
"first_name": "CORINNE",
"name_prefix": "Ms.",
"credential": "LAC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "173081",
"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 Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.