Individual provider Active NPI

John Gunnar Ramstedt, LAC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1780096784
Registry record updated May 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC165347 Issued in OR
Practice address
3758 SE Milwaukie Ave
Portland, OR 97202-3805
Phone
(503) 754-6812
NPI assigned
May 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC165347 OR Primary

Addresses

Primary practice location

3758 SE Milwaukie Ave
Portland, OR 97202-3805

Mailing address

4756 NE 14TH Ave
Portland, OR 97211-5012
Phone (503) 754-6812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC165347ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400889600000",
    "number": "1780096784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 NE 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115012",
            "telephone_number": "503-754-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023805",
            "telephone_number": "503-754-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSTEDT",
        "first_name": "JOHN",
        "middle_name": "GUNNAR",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-24",
        "last_updated": "2014-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC165347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 24, 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.