Brooklyn Community Acupuncture and Wellness, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC156229 Issued in OR

Legal business name

BROOKLYN COMMUNITY ACUPUNCTURE AND WELLNESS, LLC

Practice address

3205 SE 13TH Ave
Suite 200
Portland, OR 97202-2461

Phone

(503) 233-4341

NPI assigned

Sep 16, 2014

Last updated

Sep 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kristin Vera Brink, LACNPI 1023352010

Title

Manager/Owner

Phone

(310) 773-6649

Specialties & licenses 1

Addresses

Other names 1

• BCAW Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Vera Brink, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1023352010
  Authorized official Same address or phone

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1669873154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 SE 13TH AVE",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022461",
            "telephone_number": "503-233-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 SE 13TH AVE",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022461",
            "telephone_number": "503-233-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN COMMUNITY ACUPUNCTURE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "VERA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "310-773-6649",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC156229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCAW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karlaina Matthews Brooke, PSY.D.
• Kathleen F Brookfield, M.D., PH.D.
• Vanessa D Brookhouse, LPC
• Lisa M. Brooking, LMT
• Pollee Hruby Brookings, PNP
• Brooklyn PDX Acupuncture LLC
• Samuel Kevin Brookmyer
• Leah Faith Brookner, MA, MSW
• Alexandra Ann Brooks
• Bridget Ann Brooks, LCSW

• 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 Sep 16, 2014; 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.