Individual provider Active NPI

Genevieve Marie Allen, N.D., L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1902064660
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01172 Issued in OR
Practice address
107 SE Washington St
Suite #134
Portland, OR 97214-2103
Phone
(503) 236-6633
Fax
(503) 473-2974
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01172 OR Primary
Naturopath 175F00000X 1567 OR

Addresses

Primary practice location

107 SE Washington St
Suite #134
Portland, OR 97214-2103

Mailing address

107 SE Washington St
Suite #134
Portland, OR 97214-2103
Phone (503) 236-6633

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

LicenseStateTypeSpecialty
1567ORMDClinical Psychologist
AC01172ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
An Sen Clinic LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1902064660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST",
            "address_2": "SUITE #134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142103",
            "telephone_number": "503-236-6633",
            "fax_number": "503-473-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST",
            "address_2": "SUITE #134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142103",
            "telephone_number": "503-236-6633",
            "fax_number": "503-473-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "GENEVIEVE",
        "middle_name": "MARIE",
        "credential": "N.D., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01172",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1567",
            "primary": false
        }
    ],
    "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 May 29, 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.