Malia Susee, L.Ac.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01034 Issued in OR

Legal business name

MALIA SUSEE, L.AC.

Practice address

316 NE 28TH Ave
Portland, OR 97232-3150

Phone

(503) 230-0812

Fax

(503) 233-9151

NPI assigned

Apr 27, 2012

Organization subpart

Yes

Parent organization

MALIA SUSEE, L.AC.As reported in NPPES

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

Authorized official

Name

Malia Tarie Susee, L.AC.

Title

Owner

Phone

(503) 816-1278

Specialties & licenses 1

Addresses

Other names 1

• Good Medicine Acupuncture Doing business as

Part of

Malia Susee Lac

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1992063895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323150",
            "telephone_number": "503-230-0812",
            "fax_number": "503-233-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323150",
            "telephone_number": "503-230-0812",
            "fax_number": "503-233-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIA SUSEE, L.AC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MALIA SUSEE, L.AC.",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "SUSEE",
        "authorized_official_first_name": "MALIA",
        "authorized_official_middle_name": "TARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-816-1278",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Medicine Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra E Malesz, DO MPH
• Lauren M Maley
• Malgosia Z Cegielski, PH.D., P.C.
• Tulika Agarwal Malhotra, PA-C
• Malia Susee, L.Ac, Macom, Dipl.Om
• Christopher Cole Malibiran
• Sarah Malick
• Mehrdad Malihi, M.D.
• Lynette Santos Malik, M.D.
• Yasmin Malik, DNP, PMHNP

• 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 Apr 27, 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.