Active NPI
East Meets West Acupuncture and Massage, LLC
- Acupuncturist
- Portland, OR
National Provider Identifier
1992020788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC150417
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC150417 | OR | Primary |
| Massage Therapist | 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 DirectoryNPI 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.