Active NPI
Studio Clinic Acupuncture, LLC
- Acupuncturist
- Portland, OR
National Provider Identifier
1689129744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC174157
- Legal business name
- STUDIO CLINIC ACUPUNCTURE, LLC
- Practice address
- 819 SE Morrison St Ste 140
Portland, OR 97214-6309 - Phone
- (877) 578-7806
- NPI assigned
- Aug 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfred Donich
- Title
- Founder and Director
- Phone
- (877) 578-7806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC174157 | OR | Primary |
Addresses
Primary practice location
819 SE Morrison St Ste 140
Portland, OR 97214-6309
Mailing address
819 SE Morrison St Ste 140
Portland, OR 97214-6309
Other names 1
- Studio Clinic Portland
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1689129744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 SE MORRISON ST STE 140",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972146309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 SE MORRISON ST STE 140",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972146309",
"telephone_number": "877-578-7806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUDIO CLINIC ACUPUNCTURE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "DONICH",
"authorized_official_first_name": "ALFRED",
"authorized_official_title_or_position": "FOUNDER AND DIRECTOR",
"authorized_official_telephone_number": "877-578-7806"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC174157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Studio Clinic Portland",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 18, 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.