Individual provider Active NPI

Noriko Hosoyamada, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1952478398
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00684 Issued in OR
Practice address
2526 NE 15TH Ave
Portland, OR 97212-4222
Phone
(503) 288-7668
Fax
(503) 288-8972
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00684 OR Primary
Acupuncturist 171100000X AC00002222 WA

Addresses

Primary practice location

2526 NE 15TH Ave
Portland, OR 97212-4222

Mailing address

809 SE 73Rd Ave
Vancouver, WA 98664-1601
Phone (360) 737-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00684ORMDAcupuncturist
AC00002222WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Root Whole Body Health, Inc Past Accepting new patients
Root Whole Body Health, Inc Acupuncturist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952478398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SE 73RD AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641601",
            "telephone_number": "360-737-1940",
            "fax_number": "360-737-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 NE 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124222",
            "telephone_number": "503-288-7668",
            "fax_number": "503-288-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSOYAMADA",
        "first_name": "NORIKO",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00684",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002222",
            "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 Jul 8, 2007; 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.