NPIMap

Organization Active NPI

Mulberry Healing Arts, LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1851724124
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC#160515 Issued in OR
Legal business name
MULBERRY HEALING ARTS, LLC
Practice address
3808 N Williams Ave
Suite F
Portland, OR 97227-1467
Phone
(503) 680-0835
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Fumiko Mori, LACNPI 1922348531
Title
Owner
Phone
(508) 680-0835

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC#160515 OR Primary

Addresses

Primary practice location

3808 N Williams Ave
Suite F
Portland, OR 97227-1467

Mailing address

5203 NE 33Rd Ave
Portland, OR 97211-6917
Phone (503) 680-0835

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.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1851724124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 NE 33RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116917",
            "telephone_number": "503-680-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE",
            "address_2": "SUITE F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271467",
            "telephone_number": "503-680-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY HEALING ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "MORI",
        "authorized_official_first_name": "FUMIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-680-0835",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC#160515",
            "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 Aug 9, 2013; 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.