NPIMap

Organization Active NPI

Colleen Donnelly Acupuncture, LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1992944029
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Colleen Donnelly, L.AC.NPI 1427294990
Title
Sole Member
Phone
(503) 705-1812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC01247 OR Primary

Addresses

Primary practice location

2601 NE Glisan St
Portland, OR 97232-2317

Mailing address

3105 SE 59TH Ave
Portland, OR 97206-2035
Phone (503) 705-1812

National Provider Directory

National Provider Directory

Locations

2601 NE Glisan St
Portland, OR 97232
Phone (503) 232-1948

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

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 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.