Therapeutic Acupunture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

THERAPEUTIC ACUPUNTURE

Practice address

17355 Boones Ferry Rd Ste B
Lake Oswego, OR 97035-5225

Phone

(503) 309-8252

NPI assigned

Jul 25, 2014

Last updated

Jul 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara Pelton

Title

General Manager

Phone

(503) 309-8252

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1598173205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17355 BOONES FERRY RD STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355225",
            "telephone_number": "503-309-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17355 BOONES FERRY RD STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355225",
            "telephone_number": "503-309-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ACUPUNTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "PELTON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "503-309-8252"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "AC01167",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Cataract Vision Institute LLC
• The Floor PDX
• The Lasik Vision Institute LLC
• The Medical Wellness Clinic, LLC
• The Rhythm Clinic LLC
• Therapeutic Associates Inc (TAI - Lake Oswego)
• Therapy Centers of the Southwest I, P.a., P.C. (Concentra Medical Center)
• Khanh Thi, PHARMD
• Luana Mae Thi, RN
• George Thomas, MD

• Acupuncturist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.