Portland Acupuncture Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

157441 Issued in OR

Legal business name

PORTLAND ACUPUNCTURE GROUP

Practice address

11790 SW Barnes Rd BLDG a
Suite 120
Portland, OR 97225-5934

Phone

(971) 317-0222

Fax

(971) 317-0223

NPI assigned

Jan 2, 2014

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Felicity Woebkenberg, LAC, MACOM, RN, BSN

Title

Licensed Acupuncturist, RN

Phone

(971) 317-0222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1770904187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD BLDG A",
            "address_2": "SUITE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255934",
            "telephone_number": "971-317-0222",
            "fax_number": "971-319-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD BLDG A",
            "address_2": "SUITE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255934",
            "telephone_number": "971-317-0222",
            "fax_number": "971-317-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND ACUPUNCTURE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "WOEBKENBERG",
        "authorized_official_first_name": "FELICITY",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST, RN",
        "authorized_official_telephone_number": "971-317-0222",
        "authorized_official_credential": "LAC, MACOM, RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "157441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violet Sky Porter
• Porthaven SNF Healthcare LLC (Porthaven Post Acute)
• Jahir Portillo
• Midori Portillo
• Natalie Faith Portis
• Portland Adventist Community Services
• Portland Adventist Medical Center (Adventist Health Portland)
• Portland Adventist Medical Center (Adventist Health Portland)
• Portland Adventist Medical Center (Adventist Health Home Infusion Therapy)
• Portland Adventist Medical Center (Adventist Health Home Care)

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.