Individual provider Active NPI

Corinne Leblanc, LAC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1588040653
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
173081 Issued in OR
Practice address
2305 SE 50TH Ave.
Suite 200
Portland, OR 97215
Phone
(971) 407-3428
NPI assigned
Jul 30, 2015
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
173081ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Pediatric Acupuncture CurrentSince Aug 9, 2020 Accepting new patients
Nourishing Medicine Acupuncturist PastSince Dec 1, 2019 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.

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.

Verify at the official NPI Registry.