NPIMap

Organization Active NPI

Acupuncture Wellness, LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1609004795
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AC00321 Issued in OR
Legal business name
ACUPUNCTURE WELLNESS, LLC
Practice address
3939 NE MLK Blvd
Suite 203
Portland, OR 97212-1150
Phone
(503) 504-2416
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Janet Hague, LAC, LMTNPI 1134323199
Title
Acupuncturist
Phone
(503) 504-2416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AC00321 OR Primary

Addresses

Primary practice location

3939 NE MLK Blvd
Suite 203
Portland, OR 97212-1150

Mailing address

3004 NE 22ND Ave
Portland, OR 97212-3450

National Provider Directory

National Provider Directory

Locations

3939 NE Martin Luther King Jr Blvd
Ste 203
Portland, OR 97212
Phone (503) 504-2416

Practitioners & affiliated clinicians

Practitioners 1

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": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1609004795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 NE 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 NE MLK BLVD",
            "address_2": "SUITE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121150",
            "telephone_number": "503-504-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "HAGUE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-504-2416",
        "authorized_official_credential": "LAC, LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "AC00321",
            "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 Jun 26, 2009; 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.