Congdon Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC154157 Issued in OR

Legal business name

CONGDON ACUPUNCTURE, LLC

Practice address

4425 SW Corbett Ave Uppr
Portland, OR 97239-4287

Phone

(503) 225-9033

NPI assigned

Apr 8, 2013

Organization subpart

No

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

Authorized official

Name

Carol P Congdon, L.AC., LMT

Title

Owner

Phone

(503) 225-9033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1629411764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 SE JENNINGS AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676508",
            "telephone_number": "503-225-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 SW CORBETT AVE UPPR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394287",
            "telephone_number": "503-225-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGDON ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "CONGDON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-225-9033",
        "authorized_official_credential": "L.AC., LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC154157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta La Rue Cone, LCSW
• Gerald Conedera, PT
• Confluence Clinic, LLC
• Confluence Community Center
• Cong Ge Tang LLC
• Carol Patricia Congdon, LAC
• Nicole L Conger, P.A.
• Marguerite Schmidt Congoran
• Congruent Therapy LLC
• Jennifer A Conjerti, M.AC.O.M, , L.AC.

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.