Organization Active NPI

Studio Clinic Acupuncture, LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1689129744
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC174157 Issued in OR
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

Updated by the provider on Aug 18, 2016

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.