Organization Active NPI

East Meets West Acupuncture and Massage, LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1992020788
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC150417 Issued in OR
Legal business name
EAST MEETS WEST ACUPUNCTURE AND MASSAGE, LLC
Practice address
10915 SE Stark St
Portland, OR 97216-3348
Phone
(503) 261-1120
NPI assigned
Apr 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Mrs. Wanda Elizabeth Norman, MACOM, LAC, LMT
Title
Ceo,
Phone
(503) 261-1120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC150417 OR Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 12447 OR

Addresses

Primary practice location

10915 SE Stark St
Portland, OR 97216-3348

Mailing address

10915 SE Stark St
Portland, OR 97216-3348
Phone (503) 261-1120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1992020788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10915 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163348",
            "telephone_number": "503-261-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163348",
            "telephone_number": "503-261-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEETS WEST ACUPUNCTURE AND MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO,",
        "authorized_official_telephone_number": "503-261-1120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MACOM, LAC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150417",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12447",
            "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 Apr 6, 2010; 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.