Active NPI
Leah Cassandra Friend, LAC
- Acupuncturist
- Portland, OR
National Provider Identifier
1902448467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC195711
- Practice address
- 837 SW 1St Ave # 150
Portland, OR 97204-3307 - Phone
- (503) 847-8774
- NPI assigned
- Oct 16, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC195711 | OR | Primary |
Addresses
Primary practice location
837 SW 1St Ave # 150
Portland, OR 97204-3307
Mailing address
975 SE 11TH Ave Apt 620N
Portland, OR 97214-2491
Phone (503) 847-8774
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 |
|---|---|---|---|
| AC195711 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1902448467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 SE 11TH AVE APT 620N",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142491",
"telephone_number": "503-847-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 SW 1ST AVE # 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972043307",
"telephone_number": "503-847-8774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEND",
"first_name": "LEAH",
"middle_name": "CASSANDRA",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC195711",
"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 May 20, 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.