Institute for Traditional Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00078 Issued in OR

Legal business name

INSTITUTE FOR TRADITIONAL MEDICINE

Practice address

2348 NW Lovejoy St
Portland, OR 97210

Phone

(503) 224-7224

Fax

(503) 224-1345

NPI assigned

Apr 30, 2008

Organization subpart

Yes

Parent organization

INSTITUTE FOR TRADITIONAL MEDICINEAs reported in NPPES

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

Authorized official

Name

Pamela Noyes

Title

Office Manager

Phone

(503) 224-7224

Specialties & licenses 2

Addresses

Part of

Institute for Traditional Medicine

Locations

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1841466869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 NW LOVEJOY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-224-7224",
            "fax_number": "503-224-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 NW LOVEJOY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-224-7224",
            "fax_number": "503-224-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR TRADITIONAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTE FOR TRADITIONAL MEDICINE",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-224-7224"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00078",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.