Center Down LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01275 Issued in OR

Legal business name

CENTER DOWN LLC

Practice address

4004 SE Woodstock Blvd
Portland, OR 97202-7662

Phone

(503) 777-0444

Fax

(503) 777-0445

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Jennifer Gamache Kearns, DACM, LACNPI 1003978164

Title

Dr.

Phone

(609) 477-9192

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PDX Acu-Birth Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Gamache Kearns, DACM, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1003978164
  NPD Authorized official

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1720397011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 SE 45TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067029",
            "telephone_number": "609-477-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 SE WOODSTOCK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027662",
            "telephone_number": "503-777-0444",
            "fax_number": "503-777-0445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6214 SE 45th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972067029",
            "country_code": "US",
            "telephone_number": "609-477-9192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER DOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "KEARNS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "GAMACHE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "609-477-9192",
        "authorized_official_credential": "DACM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500616924",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDX Acu-Birth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PDX Acu-Birth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 25, 2021; 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.