NPIMap

Organization Active NPI

PDX Acupuncture Inc.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1588104459
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01068 Issued in OR
Legal business name
PDX ACUPUNCTURE INC.
Practice address
510 SW 3Rd Ave Ste 201
Portland, OR 97204-2507
Phone
(503) 943-9331
Fax
(503) 445-9861
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Lara Dilkes, L.AC.
Title
Owner
Phone
(503) 943-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC01068 OR Primary

Addresses

Primary practice location

510 SW 3Rd Ave Ste 201
Portland, OR 97204-2507

Mailing address

510 SW 3Rd Ave Ste 201
Portland, OR 97204
Phone (503) 943-9331

National Provider Directory

National Provider Directory

Locations

510 SW 3rd Ave
Ste 201
Portland, OR 97204
Phone (503) 705-6637

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1588104459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SW 3RD AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97204",
            "telephone_number": "503-943-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SW 3RD AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042507",
            "telephone_number": "503-943-9331",
            "fax_number": "503-445-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDX ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "DILKES",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-943-9331",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01068",
            "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 27, 2017; 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.