Karen Sue Bonafede Gault, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01193 Issued in OR

Practice address

530 1St St
Suite B-1
Lake Oswego, OR 97034-3248

Phone

(503) 804-0133

Fax

(503) 594-1114

NPI assigned

Nov 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1912234246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 7TH ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684718",
            "telephone_number": "503-234-6137",
            "fax_number": "503-594-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST ST",
            "address_2": "SUITE B-1",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343248",
            "telephone_number": "503-804-0133",
            "fax_number": "503-594-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULT",
        "first_name": "KAREN",
        "middle_name": "SUE BONAFEDE",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel E Garcia, LCSW
• Gareth a. Tabor M.D., P.C
• Brooke N Garofalo, RN
• Jeffrey H Garrett, OD
• Jennifer Ann Gault, FNP-C, MSN, RN
• Margaret Maude Gazeley, R.N.
• Lauren Marlene Gearhart, MD
• Stacy A Geisler, DDS PHD
• Cynthia Ann Gellinger, LMT, CMLDT
• Emelia Elizabeth Gendreau, PT, DPT

• 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 Nov 6, 2009; 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.