Individual provider Active NPI

Kerry Erin Morton, LAC, DAOM

  • Acupuncturist
  • Beaverton, OR
National Provider Identifier
1629375217
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
153716 Issued in OR
Practice address
12750 SW 2ND St Ste 102
Beaverton, OR 97005-2779
Phone
(503) 277-1430
Fax
(503) 350-1470
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 153716 OR Primary

Addresses

Primary practice location

12750 SW 2ND St Ste 102
Beaverton, OR 97005-2779

Mailing address

12750 SW 2ND St Ste 102
Beaverton, OR 97005-2779
Phone (503) 277-1430

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
153716ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1629375217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 SW 2ND ST STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052779",
            "telephone_number": "503-277-1430",
            "fax_number": "503-350-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 SW 2ND ST STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052779",
            "telephone_number": "503-277-1430",
            "fax_number": "503-350-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "KERRY",
        "middle_name": "ERIN",
        "credential": "LAC, DAOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "153716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.