Enloe Wellness Center, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

162042 Issued in OR

Legal business name

ENLOE WELLNESS CENTER, LLC

Practice address

15962 Boones Ferry Rd
Suite 202
Lake Oswego, OR 97035-4351

Phone

(503) 860-2372

NPI assigned

Sep 27, 2014

Last updated

Sep 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret Gertrude Enloe, M.AC., L.AC.,NPI 1083059059

Title

Owner

Phone

(503) 860-2372

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Gertrude Enloe, L.AC.

  • Acupuncturist
  • Lake Oswego, OR
  • NPI 1083059059
  Authorized official Same address or phone

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411776000000",
    "number": "1902209513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15962 BOONES FERRY RD",
            "address_2": "SUITE 202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354351",
            "telephone_number": "503-860-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15962 BOONES FERRY RD",
            "address_2": "SUITE 202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354351",
            "telephone_number": "503-860-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLOE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-27",
        "last_updated": "2014-09-27",
        "status": "A",
        "authorized_official_last_name": "ENLOE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "GERTRUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-860-2372",
        "authorized_official_credential": "M.AC., L.AC.,"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "162042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1083059059",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Scott Elovitz, LPC
• Kathryn Emard, MS, NCC, QMHP
• Emily Hu, M.D., P.C.
• Encompass Acupuncture Health
• Gabrielle Engelhard, PA-C
• Margaret Gertrude Enloe, L.AC.
• Ross Enlow, MSCN
• Caroline Rose Epperson, PT, DPT
• John Philip Erb Jr., PH.D, BCBA
• Rebecca Jane Ermatinger, LMT

• Acupuncturist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; 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.