Genevieve Johnson Lac LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01225 Issued in OR

Legal business name

GENEVIEVE JOHNSON LAC LLC

Practice address

240 SE 87TH Ave
Portland, OR 97216-1528

Phone

(503) 440-2942

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Genevieve Lynn Johnson, L.AC.NPI 1174757413

Title

Member

Phone

(503) 440-2942

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Genevieve Lynn Johnson, L.AC.

  • Acupuncturist
  • Portland, OR
  • NPI 1174757413
  NPD (past) Authorized official

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1740549617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SE 87TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161528",
            "telephone_number": "503-440-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SE 87TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161528",
            "telephone_number": "503-440-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVIEVE JOHNSON LAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-440-2942",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500646474",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Medical Group II, Inc
• Genesis Medical Group LLC
• Genesis Medical Group, LLC.
• Geoff Geness, D.C., LAC.
• Maryann Geness, D.C.
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Marissa Catherine Genovese, PMHNP-BC
• Lindsey Jean Gensler
• Joshua Genstler, MD

• 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 Feb 5, 2015; 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.