Active NPI
Patricia Evans Blakeslee, L.AC., R.N.
- Acupuncturist
- Portland, OR
National Provider Identifier
1962658765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00406
- Practice address
- 2600 NE Ridgewood Dr
Portland, OR 97212-1540 - Phone
- (503) 284-4055
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00406 | OR | Primary |
Addresses
Primary practice location
2600 NE Ridgewood Dr
Portland, OR 97212-1540
Mailing address
2600 NE Ridgewood Dr
Portland, OR 97212-1540
Phone (503) 284-4055
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00406 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1962658765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 NE RIDGEWOOD DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121540",
"telephone_number": "503-284-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 NE RIDGEWOOD DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121540",
"telephone_number": "503-284-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKESLEE",
"first_name": "PATRICIA",
"middle_name": "EVANS",
"credential": "L.AC., R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00406",
"primary": true
}
],
"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 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.