Active NPI
Meeha Mindbody LLC
- Clinic/Center
- Portland, OR
National Provider Identifier
1841050952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MEEHA MINDBODY LLC
- Practice address
- 2916 NE Broadway St
Portland, OR 97232-1897 - Phone
- (503) 894-6888
- Fax
- (503) 427-9553
- NPI assigned
- Mar 19, 2024
- 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
- Denise Adan, LAC
- Title
- Owner
- Phone
- (773) 354-6789
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2916 NE Broadway St
Portland, OR 97232-1897
Mailing address
1500 NE 15TH Ave Apt 241
Portland, OR 97232-4415
Phone (773) 354-6789
National Provider Directory
National Provider DirectoryLocations
2916 NE Broadway St
Portland, OR 97232
Phone (503) 894-6888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Portland, OR
- NPI 1376294868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1841050952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NE 15TH AVE APT 241",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972324415",
"telephone_number": "773-354-6789",
"fax_number": "503-427-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321897",
"telephone_number": "503-894-6888",
"fax_number": "503-427-9553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEEHA MINDBODY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "ADAN",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-354-6789",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.