Organization Active NPI

Mallory Harman Acupuncture LLC

Doing business as dearbody

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1811779549
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MALLORY HARMAN ACUPUNCTURE LLC
Doing business as
dearbody
Practice address
4233 S Corbett Ave
Portland, OR 97239-4203
Phone
(503) 482-9370
Fax
(971) 266-2311
NPI assigned
Oct 17, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Mallory Harman, LACNPI 1083175228
Title
Owner, Acupuncturist
Phone
(503) 482-9370

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
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

4233 S Corbett Ave
Portland, OR 97239-4203

Mailing address

4233 S Corbett Ave
Portland, OR 97239-4203
Phone (503) 482-9370

Other names 1

  • dearbody Doing business as

National Provider Directory

National Provider Directory

Locations

4233 S Corbett Ave
Portland, OR 97239
Phone (503) 482-9370

Practitioners & affiliated clinicians

Practitioners 1

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": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1811779549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 S CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394203",
            "telephone_number": "503-482-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 S CORBETT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394203",
            "telephone_number": "503-482-9370",
            "fax_number": "971-266-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY HARMAN ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "HARMAN",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-482-9370",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dearbody",
            "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 Oct 17, 2023; 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.