Ellen Goldsmith, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00442 Issued in OR

Practice address

111 NE Jessup St
Portland, OR 97211-2517

Phone

(503) 230-8973

Fax

(503) 230-8978

NPI assigned

Jul 7, 2006

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pearl Natural Health LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1417533795
  NPD Authorized official
• Pearl Natural Health

  • Clinic/Center
  • Portland, OR
  • NPI 1740454842
  Authorized official Same address or phone

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1700818069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11221",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972110221",
            "telephone_number": "503-230-8973",
            "fax_number": "503-230-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NE JESSUP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112517",
            "telephone_number": "503-230-8973",
            "fax_number": "503-230-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182359",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Goldsby
• Lee Goldschmidt, RN
• Ben Goldsmith
• Crystal Marie Goldsmith, MD
• Dell Goldsmith, LCSW
• Maxwell Baer Goldsmith
• Alexis Leigh Goldstein, L.AC.
• Brielle Vanessa Goldstein, MD
• Constantine Zigmund Goldstein, CADC-R
• Jay Carl Goldstein, D.P.M.

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.