Active NPI
Katie Bowens, LMT
- Acupuncturist
- Portland, OR
National Provider Identifier
1861859423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC197059
- Practice address
- 4927 NE 30TH Ave
Portland, OR 97211-7007 - Phone
- (503) 281-0861
- NPI assigned
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 18847 | OR | |
| Acupuncturist | 171100000X | AC197059 | OR | Primary |
Addresses
Primary practice location
4927 NE 30TH Ave
Portland, OR 97211-7007
Mailing address
3804 N Haight Ave Apt 10
Portland, OR 97227-1338
Phone (541) 647-0714
Other practice location 1
4230 NE Fremont St
Portland, OR 97213-1150
Phone (971) 400-6063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC197059 | OR | MD | Acupuncturist |
| 18847 | OR | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1861859423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 N HAIGHT AVE APT 10",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271338",
"telephone_number": "541-647-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4927 NE 30TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972117007",
"telephone_number": "503-281-0861"
}
],
"practiceLocations": [
{
"address_1": "4230 NE Fremont St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972131150",
"country_code": "US",
"telephone_number": "971-400-6063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWENS",
"first_name": "KATIE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "18847",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC197059",
"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 Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.