Active NPI
Jonathan Ho, LAC
- Acupuncturist
- Portland, OR
National Provider Identifier
1588056980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC169814
- Practice address
- 4410 NE Glisan St
Portland, OR 97213-2331 - Phone
- (503) 234-6338
- NPI assigned
- Feb 23, 2015
- Last updated
- Nov 28, 2015
- Sex
- Male
- 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 | AC169814 | OR | Primary |
Addresses
Primary practice location
4410 NE Glisan St
Portland, OR 97213-2331
Mailing address
2211 SE 32ND PL
Portland, OR 97214-5707
Phone (206) 432-6458
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 |
|---|---|---|---|
| AC169814 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyrell Group | Acupuncturist | Past | Accepting new patients |
| Jonathan Ho Lac | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Acupuncturist
- Portland, OR
- NPI 1821458571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448668800000",
"number": "1588056980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 SE 32ND PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145707",
"telephone_number": "206-432-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132331",
"telephone_number": "503-234-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "JONATHAN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-23",
"last_updated": "2015-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC169814",
"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 Nov 28, 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.