Brooklyn PDX Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BROOKLYN PDX ACUPUNCTURE LLC

Practice address

3880 SE Brooklyn St
Portland, OR 97202-1674

Phone

(503) 236-2389

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Meghan Nolan, LACNPI 1083219604

Title

Co-Ceo

Phone

(203) 913-2829

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meghan Nolan, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1083219604
  NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1982209508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SE 14TH AVE APT 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143658",
            "telephone_number": "203-913-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SE BROOKLYN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021674",
            "telephone_number": "503-236-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PDX ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "203-913-2829",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen F Brookfield, M.D., PH.D.
• Vanessa D Brookhouse, LPC
• Lisa M. Brooking, LMT
• Pollee Hruby Brookings, PNP
• Brooklyn Community Acupuncture and Wellness, LLC
• Samuel Kevin Brookmyer
• Leah Faith Brookner, MA, MSW
• Alexandra Ann Brooks
• Bridget Ann Brooks, LCSW
• Chelsea Brooks

• 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 Dec 1, 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.