Active NPI
Body Craft Wellness LLC
- Acupuncturist
- Portland, OR
National Provider Identifier
1922744705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- BODY CRAFT WELLNESS LLC
- Practice address
- 1135 SE Salmon St.
Suite 108
Portland, OR 97214 - Phone
- (503) 349-6221
- Fax
- (503) 907-9117
- NPI assigned
- May 5, 2022
- Organization subpart
- Yes
- Parent organization
- BODY CRAFT WELLNESS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hayley Simon
- Title
- Owner/Provider
- Phone
- (503) 349-6221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1135 SE Salmon St.
Suite 108
Portland, OR 97214
Mailing address
1135 SE Salmon St.
Suite 108
Portland, OR 97214
Phone (503) 349-6221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500783369 | Medicaid | OR |
Other names 1
- Body Craft Wellness
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.faxage.com/main.php |
National Provider Directory
National Provider Directory- Part of
- Body Craft Wellness LLC
Locations
1135 SE Salmon St
Ste 108
Portland, OR 97214
Phone (503) 349-6221
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Portland, OR
- NPI 1962865485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755648000000",
"number": "1922744705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 SE SALMON ST.",
"address_2": "SUITE 108",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97214",
"telephone_number": "503-349-6221",
"fax_number": "503-907-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 SE SALMON ST.",
"address_2": "SUITE 108",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97214",
"telephone_number": "503-349-6221",
"fax_number": "503-907-9117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY CRAFT WELLNESS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BODY CRAFT WELLNESS LLC",
"enumeration_date": "2022-05-05",
"last_updated": "2025-08-20",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "HAYLEY",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "503-349-6221"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500783369",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.faxage.com/main.php",
"affiliation": "N",
"address_1": "1135 SE Salmon St Ste 108",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972142695",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Body Craft Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Body Craft Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.