Colleen Donnelly Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01247 Issued in OR

Legal business name

COLLEEN DONNELLY ACUPUNCTURE, LLC

Practice address

2601 NE Glisan St
Portland, OR 97232-2317

Phone

(503) 232-1948

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Colleen Donnelly, L.AC.

Title

Sole Member

Phone

(503) 705-1812

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Susan Stevenson Allen, MD

  • Naturopath
  • Portland, OR
  • NPI 1639230014
  NPD (past)
• Johannes Heinrich Venghaus

  • Massage Therapist
  • Portland, OR
  • NPI 1992736821
  NPD (past)

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1992944029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 SE 59TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062035",
            "telephone_number": "503-705-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322317",
            "telephone_number": "503-232-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN DONNELLY ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "503-705-1812",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Carlos Barcelona Collantes, M.D.
• Julia Collazo
• Collective Care Clinic, LLC
• Collective Insight Therapy Services, LLC
• Collective Roots Apg
• Colleen Gibson Acupuncture LLC
• Colleen Sara LLC
• Candace Lynne Colleknon, MSCN
• Benjamin Colley
• Brandin Colley, CRM

• 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 Feb 12, 2009; 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.