Mari Greenly, Lac, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MARI GREENLY, LAC, LLC

Practice address

2311 E Burnside St Ste 201
Portland, OR 97214-1880

Phone

(503) 349-8122

Fax

(971) 319-2195

NPI assigned

Nov 11, 2021

Organization subpart

No

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

Authorized official

Name

Mari GreenlyNPI 1083797922

Title

Owner

Phone

(503) 349-8122

Specialties & licenses 1

Addresses

Other names 1

• East Bridge Acupuncture 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.

• Mari Patrice Greenly, L.AC.

  • Acupuncturist
  • Portland, OR
  • NPI 1083797922
  NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1720744998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 E BURNSIDE ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141880",
            "telephone_number": "503-349-8122",
            "fax_number": "971-319-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 E BURNSIDE ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141880",
            "telephone_number": "503-349-8122",
            "fax_number": "971-319-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARI GREENLY, LAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "GREENLY",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-349-8122"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bridge Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Miller LMT LLC
• Andrew Ross Marges, RN
• Asher Rowan Margoles
• Amanda Margolin
• Cliff J Marhoefer, DC
• Joel James Marick, ATC-R
• Robert Alan Maricle, MD
• Marie Trevisan, LLC
• Jacqueline Marie, LMT
• Susan Marie, PMHNP

• 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 Nov 11, 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.