Organization Active NPI

Zachary Nelms Lac

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1659732352
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01129 Issued in OR
Legal business name
ZACHARY NELMS LAC
Practice address
6529 NE Sandy Blvd
Portland, OR 97213-4569
Phone
(503) 679-7621
Fax
(503) 914-1821
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Zachary Nelms
Title
Owner
Phone
(503) 679-7621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC01129 OR Primary

Addresses

Primary practice location

6529 NE Sandy Blvd
Portland, OR 97213-4569

Mailing address

3753 SE Grant St
Portland, OR 97214-5833
Phone (503) 679-7621

National Provider Directory

National Provider Directory

Locations

6529 NE Sandy Blvd
Portland, OR 97213
Phone (503) 679-7621

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1659732352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 SE GRANT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145833",
            "telephone_number": "503-679-7621",
            "fax_number": "503-914-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134569",
            "telephone_number": "503-679-7621",
            "fax_number": "503-914-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY NELMS LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-679-7621"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.