Laurelhurst Family Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC161513 Issued in OR

Legal business name

LAURELHURST FAMILY CLINIC

Practice address

4410 NE Glisan St
Portland, OR 97213-2331

Phone

(503) 470-5200

NPI assigned

Jan 19, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Anna Haber, L.AC.

Title

Owner

Phone

(503) 928-2595

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8468/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Katherine Green Haber, L.AC.

  • Acupuncturist
  • Portland, OR
  • NPI 1437492543
  NPD (past)

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1720596117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 SE LINCOLN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145556",
            "telephone_number": "503-470-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132331",
            "telephone_number": "503-470-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELHURST FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-928-2595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC161513",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OK",
            "license": "AC153031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Santi Acupuncture
• Laura T. Kubly, LMT, Inc.
• Lauranell Scarfo, LCSW
• Laurel Marshall Counseling
• Laurelhurst Dentistry LLC
• Laurelhurst Operations, LLC
• Laurelhurst Physical Therapy Clinic
• Laurelhurst Physical Therapy Clinic
• Laurelhurst SNF Operations LLC
• Laurelhurst Village LLC

• 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 Jan 19, 2018; 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.