Malia Susee, L.Ac, Macom, Dipl.Om

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MALIA SUSEE, L.AC, MACOM, DIPL.OM

Practice address

4410 NE Glisan St
Portland, OR 97213-2331

Phone

(503) 272-1550

Fax

(503) 234-6338

NPI assigned

Jan 6, 2020

Organization subpart

No

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

Authorized official

Name

Malia Susee, L.AC, MACOM, DIPL.OM

Title

Owner

Phone

(503) 272-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Medicine Acupuncture Doing business as

Locations

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1932748035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132331",
            "telephone_number": "503-272-1550",
            "fax_number": "503-234-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132331",
            "telephone_number": "503-272-1550",
            "fax_number": "503-234-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIA SUSEE, L.AC, MACOM, DIPL.OM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "SUSEE",
        "authorized_official_first_name": "MALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-272-1550",
        "authorized_official_credential": "L.AC, MACOM, DIPL.OM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500818178",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Medicine Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corey Stephen Malensek, DMD
• Alexandra E Malesz, DO MPH
• Lauren M Maley
• Malgosia Z Cegielski, PH.D., P.C.
• Tulika Agarwal Malhotra, PA-C
• Malia Susee, L.Ac.
• Christopher Cole Malibiran
• Sarah Malick
• Mehrdad Malihi, M.D.
• Lynette Santos Malik, M.D.

• 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 Jan 6, 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.

Verify at the official NPI Registry.