NPIMap

Organization Active NPI

Spirit Gate Acupuncture, PC

  • Acupuncturist
  • Tillamook, OR
National Provider Identifier
1962662411
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00812 Issued in OR
Legal business name
SPIRIT GATE ACUPUNCTURE, PC
Practice address
309 Laurel Ave
Tillamook, OR 97141-2313
Phone
(503) 842-6532
Fax
(503) 842-5191
NPI assigned
Jun 9, 2008
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Ms. Katherine D Delleney, M.S.O.M., L.AC.NPI 1497877021
Title
Owner/Operator
Phone
(971) 998-7064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00812 OR Primary

Addresses

Primary practice location

309 Laurel Ave
Tillamook, OR 97141-2313

Mailing address

4505 SE Boise St
Portland, OR 97206-4037
Phone (971) 998-7064

Other names 1

  • Katherine Delleney, M.S.O.M., L.Ac. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1962662411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SE BOISE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064037",
            "telephone_number": "971-998-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LAUREL AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412313",
            "telephone_number": "503-842-6532",
            "fax_number": "503-842-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT GATE ACUPUNCTURE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "DELLENEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "971-998-7064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.O.M., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katherine Delleney, M.S.O.M., L.Ac.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tillamook, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.