Portland Pediatric Acupuncture

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PORTLAND PEDIATRIC ACUPUNCTURE

Practice address

2305 SE 50TH Ave Ste 200
Portland, OR 97215-3853

Phone

(503) 946-8605

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Corinne Leblanc, L.AC.NPI 1588040653

Title

Manager

Phone

(971) 337-7387

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Corinne Leblanc, LAC.

  • Acupuncturist
  • Portland, OR
  • NPI 1588040653
  NPD Authorized official

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1992315626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 SE LINCOLN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SE 50TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153853",
            "telephone_number": "503-946-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND PEDIATRIC ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "971-337-7387",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ehr2.charmtracker.com/ehr/messagesAction.do?ACTION=FETCH_ALL_MESSAGES&FACILITY_ID=1fc28f393c",
            "affiliation": "N",
            "address_1": "2305 SE 50th Ave Ste 200",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972153853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Portland Orthodontic Group
• Portland Orthodontic Group, LLC
• Portland Orthopedic Services P.C.
• Portland Otologic Clinic PC
• Portland Pain Medicine LLC
• Portland Pediatric Nutrition
• Portland Pediatric Psychology, LLC
• Portland Peritoneal Center, Inc.
• Portland Physical Therapy
• Portland Plastic Surgery Group, LLC

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.