Moving Mountain Institute, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC156717 Issued in OR

Legal business name

MOVING MOUNTAIN INSTITUTE, INC.

Practice address

4203 SE Hawthorne Blvd
Suite a
Portland, OR 97215-3160

Phone

(503) 985-9625

Fax

(888) 958-0782

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Michael McMahon, L.AC, LMT

Title

Owner/Provider

Phone

(503) 985-9625

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1669920864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 SE HAWTHORNE BLVD",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153160",
            "telephone_number": "503-985-9625",
            "fax_number": "888-958-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 SE HAWTHORNE BLVD",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153160",
            "telephone_number": "503-985-9625",
            "fax_number": "888-958-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING MOUNTAIN INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "503-985-9625",
        "authorized_official_credential": "L.AC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC156717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1578790226",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Move Strong Physical Therapy LLC
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• Moving Inside Out
• Alia Mowery
• Blaine E. Mowrey, D.M.D., M.S.
• Marisa Rose Mowrey, DPT
• Jeanne Mowry, M.D.
• Moxie Body P C

• 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 15, 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.