Red Pine TCM, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC170153 Issued in OR

Legal business name

RED PINE TCM, LLC

Practice address

4016 SE 31St Ave
Portland, OR 97202-3404

Phone

(503) 209-9802

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Boey Yean Lim, MAOMNPI 1831597590

Title

Owner of Red Pine TCM, LLC

Phone

(503) 209-9802

Specialties & licenses 1

Addresses

Practitioners 1

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

• Boey Yean Lim, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1831597590
  NPD (past) Authorized official

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1730683442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 SE 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024107",
            "telephone_number": "503-209-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 SE 31ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023404",
            "telephone_number": "503-209-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED PINE TCM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "BOEY",
        "authorized_official_middle_name": "YEAN",
        "authorized_official_title_or_position": "OWNER OF RED PINE TCM, LLC",
        "authorized_official_telephone_number": "503-209-9802",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC170153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Todd Redberg
• Melinda White Redburn, MA, LPC
• Lauren E Redcay
• Jasmar Reddin, DC
• Janna Marie Redding, N.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 Mar 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.