Bounce Back Acupuncture

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AC156571 Issued in OR

Legal business name

BOUNCE BACK ACUPUNCTURE

Practice address

15455 NW Greenbrier Pkwy Ste 240
Beaverton, OR 97006-8116

Phone

(503) 515-4457

Fax

(503) 419-6065

NPI assigned

Jun 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael S. Balogh, L.AC.NPI 1528332236

Title

Acupuncturist

Phone

(503) 515-4457

Specialties & licenses 1

Addresses

Locations

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.

• Michael Balogh, L.AC.

  • Acupuncturist
  • Beaverton, OR
  • NPI 1528332236
  NPD (past) Authorized official

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339804800000",
    "number": "1922361807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 SW WILSON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084461",
            "telephone_number": "503-515-4457",
            "fax_number": "503-419-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 240",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068116",
            "telephone_number": "503-515-4457",
            "fax_number": "503-419-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCE BACK ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A",
        "authorized_official_last_name": "BALOGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-515-4457",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "AC156571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Boteilho, RDH
• Arely Botello Leal
• Olivia Suzanne Botsford
• Carole Jean Bottoms
• Samantha Boulanger
• Alexander Bouneff, DMD, MD
• Anthony B. Bouneff, D.M.D.
• Lisa Ann Bourlon
• Robin Jeanne Bousquet, MPT
• Benjamin L Bowers, LMT

• Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; 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.