Active NPI
Boey Yean Lim, LAC
- Acupuncturist
- Portland, OR
National Provider Identifier
1831597590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC170153
- Practice address
- 4629 SE Woodstock Blvd
Portland, OR 97206 - Phone
- (503) 209-9802
- NPI assigned
- Dec 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC170153 | OR | Primary |
Addresses
Primary practice location
4629 SE Woodstock Blvd
Portland, OR 97206
Mailing address
5103 SE 34TH Ave
Portland, OR 97202-4107
Phone (503) 209-9802
Other names 1
- May Lim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC170153 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Pine TCM, LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Portland, OR
- NPI 1730683442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1831597590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5103 SE 34TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972024107",
"telephone_number": "503-209-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4629 SE WOODSTOCK BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97206",
"telephone_number": "503-209-9802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "BOEY",
"middle_name": "YEAN",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC170153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAY",
"last_name": "LIM",
"credential": "MACOM",
"code": "5",
"type": "Other Name"
}
]
}
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 12, 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.