Integral Acupuncture Health, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC162680 Issued in OR

Legal business name

INTEGRAL ACUPUNCTURE HEALTH, LLC

Practice address

10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791

Phone

(503) 869-7071

NPI assigned

Aug 31, 2017

Organization subpart

No

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

Authorized official

Name

Marilyn Jean Williams, L.AC

Title

Licensed Acupuncturist

Phone

(503) 869-7071

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1689192593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 SW MEADOW LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252420",
            "telephone_number": "503-869-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 560",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054791",
            "telephone_number": "503-869-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL ACUPUNCTURE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-869-7071",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC162680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.