Charles Rachel Grey, LAC LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01160 Issued in OR

Practice address

1308 NW 20TH Ave
Suite 10
Portland, OR 97209-1607

Phone

(503) 956-0912

Fax

(503) 715-4923

NPI assigned

Apr 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Starside Healing Arts

  • Acupuncturist
  • Portland, OR
  • NPI 1275768434
  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1932373842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 NW 20TH AVE",
            "address_2": "SUITE 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091607",
            "telephone_number": "503-956-0912",
            "fax_number": "503-715-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 NW 20TH AVE",
            "address_2": "SUITE 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091607",
            "telephone_number": "503-956-0912",
            "fax_number": "503-715-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "CHARLES",
        "middle_name": "RACHEL",
        "credential": "LAC LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01160",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT15144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Peter Gretsch, PSYD, ABPP, LICENSED
• Gurleen K Grewal, MPT, PT
• Kent Michael Grewe, M.D.
• Rachel Grewe
• Ronald D Grewenow, MD
• Dennis Stephen Grey, F.N.P.
• Emma Rowan Grey
• Eric B Grey, LAC
• Erin Leigh Grey, MD
• Londyn Grey, MD

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.