Organization Active NPI

An Sen Clinic LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1740588664
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
AN SEN CLINIC LLC
Practice address
107 SE Washington St
Suite 134
Portland, OR 97214-2103
Phone
(503) 236-6633
Fax
(503) 234-2185
NPI assigned
Mar 1, 2011
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mrs. Alysia Anderson
Title
Owner
Phone
(503) 236-6633

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary
Massage Therapist 225700000X

Addresses

Primary practice location

107 SE Washington St
Suite 134
Portland, OR 97214-2103

Mailing address

107 SE Washington St
Suite 134
Portland, OR 97214-2103
Phone (503) 236-6633

Other names 1

  • Alysia Anderson Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1740588664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST",
            "address_2": "SUITE 134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142103",
            "telephone_number": "503-236-6633",
            "fax_number": "503-234-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST",
            "address_2": "SUITE 134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142103",
            "telephone_number": "503-236-6633",
            "fax_number": "503-234-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN SEN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALYSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-236-6633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alysia Anderson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.