NPIMap

Organization Active NPI

Stone Forest Acupuncture

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1790227890
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC177817 Issued in OR
Legal business name
STONE FOREST ACUPUNCTURE
Practice address
1616 SE Bybee Blvd
Portland, OR 97202-5715
Phone
(503) 236-4654
NPI assigned
Nov 7, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Ms. Cybele Whitney Phillips, LACNPI 1053863530
Title
Acupuncturist
Phone
(206) 683-7789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC177817 OR Primary

Addresses

Primary practice location

1616 SE Bybee Blvd
Portland, OR 97202-5715

Mailing address

5922 NE 11TH Ave
Portland, OR 97211-4208
Phone (206) 683-7789

National Provider Directory

National Provider Directory

Locations

1616 SE Bybee Blvd
Portland, OR 97202
Phone (503) 236-4654

Practitioners & affiliated clinicians

Practitioners 4

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": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1790227890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 NE 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114208",
            "telephone_number": "206-683-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 SE BYBEE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025715",
            "telephone_number": "503-236-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE FOREST ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CYBELE",
        "authorized_official_middle_name": "WHITNEY",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "206-683-7789",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC177817",
            "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 Nov 7, 2016; 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.