Organization Active NPI

Bamboo Gardens Acupuncture

  • Acupuncturist
  • Beaverton, OR
National Provider Identifier
1700156411
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00189 Issued in OR
Legal business name
BAMBOO GARDENS ACUPUNCTURE
Practice address
4700 SW 185TH Ave
Beaverton, OR 97007-3081
Phone
(503) 523-6512
Fax
(503) 579-9047
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Ms. Linda C Faust, LAC
Title
Licensed Acupuncturist
Phone
(503) 523-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00189 OR Primary

Addresses

Primary practice location

4700 SW 185TH Ave
Beaverton, OR 97007-3081

Mailing address

4700 SW 185TH Ave
Beaverton, OR 97007-3081
Phone (503) 523-6512

National Provider Directory

National Provider Directory

Locations

4700 SW 185th Ave
Beaverton, OR 97078
Phone (503) 616-3146

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1700156411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SW 185TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970073081",
            "telephone_number": "503-523-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SW 185TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970073081",
            "telephone_number": "503-523-6512",
            "fax_number": "503-579-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBOO GARDENS ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-523-6512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.