Individual provider Active NPI

Barbara E Solomon, LAC

  • Acupuncturist
  • Gresham, OR
National Provider Identifier
1609027150
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00805 Issued in OR
Practice address
25500 SE Stark St Ste 202
Gresham, OR 97030-8328
Phone
(503) 927-0024
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00805 OR Primary

Addresses

Primary practice location

25500 SE Stark St Ste 202
Gresham, OR 97030-8328

Mailing address

2400 NE Red Sunset Dr Apt 110
Gresham, OR 97030-3182
Phone (503) 927-0024

Other practice location 1

23424 SE Halsey
Suite 202
Wood Village, OR 97060
Phone (503) 927-0024

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
AC00805ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1609027150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NE RED SUNSET DR APT 110",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303182",
            "telephone_number": "503-927-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 SE STARK ST STE 202",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308328",
            "telephone_number": "503-927-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23424 SE Halsey",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Wood Village",
            "state": "OR",
            "postal_code": "97060",
            "country_code": "US",
            "telephone_number": "503-927-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "BARBARA",
        "middle_name": "E",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.