Active NPI
Hannalisa Gordon-Johnson Bekker, LAC, MACOM
- Acupuncturist
- Grants Pass, OR
National Provider Identifier
1629617360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 196357
- Practice address
- 215 SE 6TH St Ste 211
Grants Pass, OR 97526-2471 - Phone
- (541) 543-1407
- NPI assigned
- Dec 28, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 196357 | OR | Primary |
Addresses
Primary practice location
215 SE 6TH St Ste 211
Grants Pass, OR 97526-2471
Mailing address
1530 SE 84TH Ave
Portland, OR 97216-1315
Phone (541) 543-1407
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 |
|---|---|---|---|
| 196357 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577491200000",
"number": "1629617360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 SE 84TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972161315",
"telephone_number": "541-543-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 SE 6TH ST STE 211",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262471",
"telephone_number": "541-543-1407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEKKER",
"first_name": "HANNALISA",
"middle_name": "GORDON-JOHNSON",
"credential": "LAC, MACOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-28",
"last_updated": "2019-12-28",
"certification_date": "2019-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "196357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.