Organization Active NPI

GFM LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1801413240
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GFM LLC
Practice address
1235 SE Division St Ste 114
Portland, OR 97202-1042
Phone
(206) 305-8709
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Jonathan Allon Irvin, LACNPI 1427569052
Title
Acupuncturist
Phone
(206) 305-8709

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1235 SE Division St Ste 114
Portland, OR 97202-1042

Mailing address

525 SE 41St Ave Apt 16
Portland, OR 97214-3259
Phone (206) 305-8709

Other names 1

  • Great Forest Medicine Acupuncture and Herbs Doing business as

National Provider Directory

National Provider Directory

Locations

1235 SE Division St
Ste 114
Portland, OR 97202
Phone (206) 305-8709

Practitioners & affiliated clinicians

Practitioners 1

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": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1801413240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SE 41ST AVE APT 16",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143259",
            "telephone_number": "206-305-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 114",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021042",
            "telephone_number": "206-305-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GFM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ALLON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "206-305-8709",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Forest Medicine Acupuncture and Herbs",
            "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 Jul 1, 2020; 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.