Active NPI
Jesse Dubois Liberty, L.AC
- Acupuncturist
- Eugene, OR
National Provider Identifier
1699028407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC160297
- Practice address
- 150 Shelton McMurphey Blvd
Suite 203
Eugene, OR 97401-5015 - Phone
- (541) 762-1755
- NPI assigned
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC160297 | OR | Primary |
Addresses
Primary practice location
150 Shelton McMurphey Blvd
Suite 203
Eugene, OR 97401-5015
Mailing address
150 Shelton McMurphey Blvd
Suite 203
Eugene, OR 97401-5015
Phone (541) 762-1755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC160297 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1699028407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SHELTON MCMURPHEY BLVD",
"address_2": "SUITE 203",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015015",
"telephone_number": "541-762-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SHELTON MCMURPHEY BLVD",
"address_2": "SUITE 203",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015015",
"telephone_number": "541-762-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERTY",
"first_name": "JESSE",
"middle_name": "DUBOIS",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC160297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.