Organization Active NPI

Fine Feather Acupuncture LLC

Doing business as Connection Wellness

  • Acupuncturist
  • Oregon City, OR
National Provider Identifier
1730807728
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
FINE FEATHER ACUPUNCTURE LLC
Doing business as
Connection Wellness
Practice address
1017 Molalla Ave Ste 2
Oregon City, OR 97045-3772
Phone
(503) 765-7324
Fax
(503) 765-7308
NPI assigned
Aug 16, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Maryam Samuel-John, L.ACNPI 1699320846
Title
Owner
Phone
(503) 998-7978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

1017 Molalla Ave Ste 2
Oregon City, OR 97045-3772

Mailing address

1017 Molalla Ave Ste 2
Oregon City, OR 97045-3772
Phone (503) 765-7324

Other names 1

  • Connection Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.connection-wellness.com

National Provider Directory

National Provider Directory

Locations

1017 Molalla Ave
Ste 2
Oregon City, OR 97045
Phone (503) 765-7324

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1730807728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 MOLALLA AVE STE 2",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453772",
            "telephone_number": "503-765-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 MOLALLA AVE STE 2",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453772",
            "telephone_number": "503-765-7324",
            "fax_number": "503-765-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINE FEATHER ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "SAMUEL-JOHN",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-998-7978",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.connection-wellness.com",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "address_1": "1017 Molalla Ave Ste 2",
            "city": "Oregon City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970453772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Connection Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.