Andrea L Peruzzi, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC159736 Issued in OR

Practice address

10541 SE Cherry Blossom Dr
Portland, OR 97216-2826

Phone

(503) 445-0953

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1649523358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 SE PINE ST APT R107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972164607",
            "telephone_number": "503-758-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10541 SE CHERRY BLOSSOM DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162826",
            "telephone_number": "503-445-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUZZI",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC159736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Nadine Persoon-Gundy, M.D.
• Kami Marie Persse, LCSW
• Timothy F Persse, MD
• Magdalena Pertoldova, P.T.
• Claire Perusse
• William Pervisky, RN
• Vera Pervitsky, PHARMD, BCOP, BCPS
• Sephanie Rachel Pesa, AU.D.
• Radu Pescarus, MD
• Laura Pestana, DO

• 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 18, 2012; 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.