NPIMap

Organization Active NPI

Nourishing Medicine, Inc.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1861784035
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01153 Issued in OR
Legal business name
NOURISHING MEDICINE, INC.
Practice address
2403 SE Monroe St Ste A3
Portland, OR 97222-7646
Phone
(503) 860-8998
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Elizabeth Cole, LA.C, LMTNPI 1922277847
Title
Owner
Phone
(503) 860-8998

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 AC01153 OR Primary

Addresses

Primary practice location

2403 SE Monroe St Ste A3
Portland, OR 97222-7646

Mailing address

2403 SE Monroe St Ste A3
Portland, OR 97222-7646
Phone (503) 860-8998

Other identifiers 1

IdentifierTypeStateIssuer
1922277847OtherORFROM OLD TAX ID

National Provider Directory

National Provider Directory

Locations

2403 SE Monroe St
Ste A3
Portland, OR 97222
Phone (503) 860-8998

Practitioners & affiliated clinicians

Practitioners 3

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": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1861784035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SE MONROE ST STE A3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972227646",
            "telephone_number": "503-860-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SE MONROE ST STE A3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972227646",
            "telephone_number": "503-860-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-860-8998",
        "authorized_official_credential": "LA.C, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FROM OLD TAX ID",
            "identifier": "1922277847",
            "state": "OR"
        }
    ],
    "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 Feb 3, 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.

Verify at the official NPI Registry.