Authentic Healing Wellness PDX Center
Organization Active NPI Acupuncturist · Portland, OR
NPI 1639556293 · NPPES record last updated Feb 26, 2021
Key facts
- NPI
- 1639556293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC00489 (OR)
- Legal business name
- AUTHENTIC HEALING WELLNESS PDX CENTER
- Practice address
- 333 S Flower St Ste B
Portland, OR 97239-3797 - Phone
- (503) 998-2678
- NPI assigned
- May 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Shannon Chawla, LAC
- Title
- Owner
- Phone
- (503) 998-2678
National Provider Directory
Locations
3430 SE Belmont St
Portland, OR 97214
Phone (503) 548-3867
333 S Flower St
Ste B
Portland, OR 97239
Phone (503) 998-2678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | AC00489 | OR | Yes |
Addresses
Primary practice location
333 S Flower St Ste B
Portland, OR 97239-3797
Mailing address
333 S Flower St Ste B
Portland, OR 97239-3797
Phone (503) 998-2678
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376768093 | Other | OR | NPI |
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.