Active NPI
Jeffrey Philip Olson Acupuncture
- Acupuncturist
- Portland, OR
National Provider Identifier
1821255332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00901
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880895000 | Other | OR | BLUE CROSS BLUE SHIELD |
| 1679537872 | Other | OR | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryNPI 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.