NPIMap

Organization Active NPI

Mason Moore Wellness LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1942788484
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC184969 Issued in OR
Legal business name
MASON MOORE WELLNESS LLC
Practice address
1235 SE Division St Ste 206
Portland, OR 97202-1089
Phone
(503) 748-9399
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Mason Moore, LAC, LMT
Title
Manager
Phone
(503) 748-9399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC184969 OR Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X LMT20000 OR

Addresses

Primary practice location

1235 SE Division St Ste 206
Portland, OR 97202-1089

Mailing address

2100 SE Belmont St Apt 410
Portland, OR 97214-4572
Phone (503) 748-9399

National Provider Directory

National Provider Directory
Tax ID family
Expedition Acupuncture2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1942788484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE BELMONT ST APT 410",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144572",
            "telephone_number": "503-748-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021089",
            "telephone_number": "503-748-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON MOORE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-748-9399",
        "authorized_official_credential": "LAC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC184969",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT20000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 6, 2018; 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.