Vital Health Center, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01143 Issued in OR

Legal business name

VITAL HEALTH CENTER, INC.

Doing business as

Vital Health Center

Practice address

1417 SE 34TH Ave
Portland, OR 97214-4225

Phone

(503) 481-0283

Fax

(503) 536-6590

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alfred Thieme III, L.AC., DIPL. AC.NPI 1962687202

Title

Chief Executive Officer

Phone

(503) 481-0283

Specialties & licenses 1

Addresses

Other names 1

• Vital Health Center Doing business as

Practitioners 1

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

• Alfred Thieme III, L.AC., DIPL. AC.

  • Acupuncturist
  • Portland, OR
  • NPI 1962687202
  NPD (past) Authorized official

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1760668651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 SE 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144225",
            "telephone_number": "503-481-0283",
            "fax_number": "503-536-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 SE 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144225",
            "telephone_number": "503-481-0283",
            "fax_number": "503-536-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "THIEME",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-481-0283",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "L.AC., DIPL. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian McGranahan Visscher, MA
• Robert J. Vissers, MD
• Visualeyes Optometric, Inc (Visualeyes)
• Sheila Visvanathan, RD
• Vital Bodyworks
• Vital Health Clinic LLC
• Vital Life Acupuncture Clinic, LLC (Lita Buttolph)
• Alexandra Vitale
• Vitality Physical Therapy Northwest LLC
• Vitalize Acupuncture and Herbal Medicine, LLC

• 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 Jan 10, 2008; 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.