Organization Active NPI

Jeffrey Philip Olson Acupuncture

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1821255332
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00901 Issued in OR
Legal business name
JEFFREY PHILIP OLSON ACUPUNCTURE
Practice address
1706 NW Glisan St
Suite 5
Portland, OR 97209-2225
Phone
(503) 228-5000
Fax
(503) 228-5019
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Melissa Baldwin
Title
Office Manager
Phone
(503) 228-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00901 OR Primary

Addresses

Primary practice location

1706 NW Glisan St
Suite 5
Portland, OR 97209-2225

Mailing address

1706 NW Glisan St
Suite 5
Portland, OR 97209-2225
Phone (503) 228-5000

Other identifiers 2

IdentifierTypeStateIssuer
880895000OtherORBLUE CROSS BLUE SHIELD
1679537872OtherORINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1821255332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 NW GLISAN ST",
            "address_2": "SUITE 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092225",
            "telephone_number": "503-228-5000",
            "fax_number": "503-228-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 NW GLISAN ST",
            "address_2": "SUITE 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092225",
            "telephone_number": "503-228-5000",
            "fax_number": "503-228-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY PHILIP OLSON ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-228-5000"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "880895000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679537872",
            "state": "OR"
        }
    ],
    "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 21, 2008; 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.