Spirit Point Medicine Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

140952 Issued in OR

Legal business name

SPIRIT POINT MEDICINE INC

Practice address

5532 SE Knight St
Portland, OR 97206-6022

Phone

(503) 453-3577

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Shannon Conrad, LACNPI 1174858484

Title

President

Phone

(503) 453-3577

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Conrad, L.AC

  • Acupuncturist
  • Portland, OR
  • NPI 1174858484
  NPD (past) Authorized official

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1689034316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 SE KNIGHT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066022",
            "telephone_number": "503-453-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 SE KNIGHT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066022",
            "telephone_number": "503-453-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT POINT MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-453-3577",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "140952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Spink, PSYD
• Jessica Spinu, HIS
• Katherine O Spira, DNP
• Spiral Tide Therapy LLC
• Derik Spires, RN
• David Mark Spiro, MD
• Afrothiti Marina Spiropoulou, CNA
• Merisha Spisak
• Monica Elaine Spisak
• William A Spisak, M.D.

• 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 Feb 23, 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.