Mary Grace Pampo, L.AC., CYI, CMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01055 Issued in OR

Practice address

6125 NE Cornell Rd
250
Hillsboro, OR 97124-5412

Phone

(503) 747-2259

NPI assigned

Jul 2, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1649477597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 NE CORNELL RD",
            "address_2": "250",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245412",
            "telephone_number": "503-747-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 NE CORNELL RD",
            "address_2": "250",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245412",
            "telephone_number": "503-747-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPO",
        "first_name": "MARY GRACE",
        "credential": "L.AC., CYI, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01055",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain & Performance Coach LLC
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• Julia Palmer, MD
• Misty Mi'Chele Palmer, RDH
• Krystal Palos
• Sonia Panayil, R.PH
• Miguel Paniagua Rodriguez
• Valeria Estefania Paniagua, MA,CADC I,QMHP,NCC
• Joeann C Pansoy, NP
• Kelsey Papadatos, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.