Active NPI
Deborah B Manders, L.AC.
- Acupuncturist
- Coos Bay, OR
National Provider Identifier
1609097948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01092
- Practice address
- 320 Central Ave Ste 304
Coos Bay, OR 97420-2241 - Phone
- (541) 266-7694
- NPI assigned
- May 2, 2007
- Sex
- Female
- 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 | AC01092 | OR | Primary |
Addresses
Primary practice location
320 Central Ave Ste 304
Coos Bay, OR 97420-2241
Mailing address
61844 Old Wagon Rd
Coos Bay, OR 97420
Phone (541) 266-7694
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 |
|---|---|---|---|
| AC01092 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609097948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61844 OLD WAGON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "97420",
"telephone_number": "541-266-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 CENTRAL AVE STE 304",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202241",
"telephone_number": "541-266-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDERS",
"first_name": "DEBORAH",
"middle_name": "B",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC01092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.