NPIMap

Organization Active NPI

Sourcing Vitality, Inc.

Doing business as The North Portland Wellness Center

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1811048424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SOURCING VITALITY, INC.
Doing business as
The North Portland Wellness Center
Practice address
4922 N Vancouver Ave
Portland, OR 97217-2826
Phone
(503) 493-9398
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Annabelle Sue Snow, LACNPI 1558412189
Title
Clinic Manager
Phone
(503) 493-9398

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4922 N Vancouver Ave
Portland, OR 97217-2826

Mailing address

4922 N Vancouver Ave
Portland, OR 97217-2826
Phone (503) 493-9398

Other names 1

  • The North Portland Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

2627 NE Martin Luther King Jr Blvd
Portland, OR 97212
Phone (503) 493-9398

4922 N Vancouver Ave
Portland, OR 97217
Phone (503) 493-9398

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811048424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 N VANCOUVER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172826",
            "telephone_number": "503-493-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 N VANCOUVER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172826",
            "telephone_number": "503-493-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCING VITALITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "ANNABELLE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "503-493-9398",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The North Portland Wellness Center",
            "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 Aug 22, 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.