Edie Baldwin Page, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00156 Issued in OR

Practice address

1715 E Burnside St
Portland, OR 97214-1531

Phone

(503) 234-4622

Fax

(503) 788-6399

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720164296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19503",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972800503",
            "telephone_number": "503-234-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141531",
            "telephone_number": "503-234-4622",
            "fax_number": "503-788-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "EDIE",
        "middle_name": "BALDWIN",
        "name_prefix": "Ms.",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Frank Pagano, PHD
• Alexa Lee Faith Page, 23-CRM-2592
• Amy Elizabeth Page, M.D.
• Andrew Page, OR. L.M.T. #15989
• David B Page, M.D.
• Elizabeth Page, MD
• Frances I. Page, PH.D.
• Janaela Page
• Mary Elizabeth Page
• Michael Allen Page, M.D.

• 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 Jul 8, 2007; 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.