Krishna Kariann Avalon, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198000612 Issued in IL

Practice address

4605 NE Fremont St
Ste 103
Portland, OR 97213-1707

Phone

(503) 522-2872

NPI assigned

Apr 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Krishna Kariann Bader Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Krishna Avalon Acupuncture, Inc

  • Acupuncturist
  • Portland, OR
  • NPI 1841624194
  NPD (past) Authorized official
• Integrated Pain Solutions, LLC

  • Naturopath
  • Vancouver, WA
  • NPI 1447898515
  NPD (past)
• Mickel Chiropractic, Inc

  • Chiropractor
  • Vancouver, WA
  • NPI 1427204700
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1649444191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 NE GOING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182004",
            "telephone_number": "503-522-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 NE FREMONT ST",
            "address_2": "STE 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131707",
            "telephone_number": "503-522-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALON",
        "first_name": "KRISHNA",
        "middle_name": "KARIANN",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000612",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISHNA",
            "last_name": "BADER",
            "middle_name": "KARIANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Auxilia Health
• Avada of Oregon, Inc.
• Selin Avakemian, LMT
• Avalon Care Center - Portland LLC
• Natasha Marie Avalon Gardner, PMHNP, DNP
• Mary Anne Avalon
• Lenora Rose Avalos, PTA
• Avamere Bethany Cottages Operations, LLC
• Avamere Bethany Operations, LLC
• Lyudmila N Avanesov, QMHA

• 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 Nov 14, 2016; 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.