Active NPI
Bridgetown Acupuncture and Herbal Clinic, LLC
- Health Service Clinic/Center
- Portland, OR
National Provider Identifier
1609217082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- AC159844
- Legal business name
- BRIDGETOWN ACUPUNCTURE AND HERBAL CLINIC, LLC
- Practice address
- 8401 NE Halsey St Ste 104
Portland, OR 97220-5670 - Phone
- (503) 567-8589
- NPI assigned
- Jul 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Lynn Stewart, LAC
- Title
- Owner
- Phone
- (503) 567-8589
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | AC159844 | OR | Primary |
Addresses
Primary practice location
8401 NE Halsey St Ste 104
Portland, OR 97220-5670
Mailing address
8401 NE Halsey St Ste 104
Portland, OR 97220-5670
Phone (503) 567-8589
National Provider Directory
National Provider DirectoryLocations
8401 NE Halsey St
Ste 104
Portland, OR 97220
Phone (503) 567-8589
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Portland, OR
- NPI 1972847622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733616000000",
"number": "1609217082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 NE HALSEY ST STE 104",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205670",
"telephone_number": "503-567-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 NE HALSEY ST STE 104",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205670",
"telephone_number": "503-567-8589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGETOWN ACUPUNCTURE AND HERBAL CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-12",
"last_updated": "2024-12-08",
"certification_date": "2024-12-08",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "JENNY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-567-8589",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "OR",
"license": "AC159844",
"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 Dec 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.