NPIMap

Organization Active NPI

12 Red Hammers, LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1821462920
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC170452 Issued in OR
Legal business name
12 RED HAMMERS, LLC
Practice address
8528 N Calhoun Ave
Portland, OR 97203-2405
Phone
(503) 913-8551
NPI assigned
Nov 30, 2015
Last updated
Nov 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Mr. Stefan Grace, LACNPI 1356733422
Title
Principal
Phone
(503) 913-8551

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 AC170452 OR Primary

Addresses

Primary practice location

8528 N Calhoun Ave
Portland, OR 97203-2405

Mailing address

8528 N Calhoun Ave
Portland, OR 97203-2405

National Provider Directory

National Provider Directory

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": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1821462920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 N CALHOUN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8528 N CALHOUN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032405",
            "telephone_number": "503-913-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "12 RED HAMMERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "503-913-8551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC170452",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 30, 2015; 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.