Krishna Avalon Acupuncture, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01299 Issued in OR

Legal business name

KRISHNA AVALON ACUPUNCTURE, INC

Practice address

4605 NE Fremont St
Ste 103
Portland, OR 97213

Phone

(503) 522-2872

Fax

(844) 252-8069

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Krishna Avalon, L.ACNPI 1649444191

Title

Owner

Phone

(503) 522-2872

Specialties & licenses 1

Addresses

Other names 1

• Krishna Bader, L.AC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krishna Kariann Avalon, L.AC

  • Acupuncturist
  • Portland, OR
  • NPI 1649444191
  NPD (past) Authorized official

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1841624194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 NE GOING ST.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97218",
            "telephone_number": "503-522-2872",
            "fax_number": "844-252-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 NE FREMONT ST",
            "address_2": "STE 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-522-2872",
            "fax_number": "844-252-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA AVALON ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "AVALON",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-522-2872",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krishna Bader, L.AC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Faye Krippner, LMT
• Kimberly Ann Kripps, MD
• Chelsea Krisanda, LAC
• Tammie Krisciunas, OD
• Yelena Krishchenko
• Kalpana Krishnamurthy
• Bala Arul Vinayak Krishnan, M.D., M.S.
• Preetha Krishnan, M.D.
• Rajeev Krishnan, M.D
• Prasanna Venkatesh Krishnasamy, M.D., MPH

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.