NPIMap

Organization Active NPI

Acupuncture Center of Portland East LLC

Doing business as Acupuncture Center of Portland

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1770158354
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ACUPUNCTURE CENTER OF PORTLAND EAST LLC
Doing business as
Acupuncture Center of Portland
Practice address
3701 SE Milwaukie Ave Ste F
Portland, OR 97202-3835
Phone
(503) 841-5323
Fax
(503) 525-2516
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Christopher Michael Bonnichsen, LACNPI 1801170196
Title
President
Phone
(503) 841-5323

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X

Addresses

Primary practice location

3701 SE Milwaukie Ave Ste F
Portland, OR 97202-3835

Mailing address

3701 SE Milwaukie Ave Ste F
Portland, OR 97202-3835
Phone (503) 223-2845

Other names 1

  • Acupuncture Center of Portland Doing business as

National Provider Directory

National Provider Directory

Locations

4629 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 209-9802

3701 SE Milwaukie Ave
Ste F
Portland, OR 97202
Phone (503) 239-7341

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1770158354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SE MILWAUKIE AVE STE F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023835",
            "telephone_number": "503-223-2845",
            "fax_number": "503-525-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SE MILWAUKIE AVE STE F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023835",
            "telephone_number": "503-841-5323",
            "fax_number": "503-525-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE CENTER OF PORTLAND EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-04-25",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "BONNICHSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-841-5323",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acupuncture Center of Portland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acupuncture Center of Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2024; 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.