NPIMap

Organization Active NPI

Columbia Clinical Laboratory, Inc

Doing business as Oregon Acupuncture Center

  • Clinic/Center
  • Clackamas, OR
National Provider Identifier
1992978118
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD16691 Issued in OR
Legal business name
COLUMBIA CLINICAL LABORATORY, INC
Doing business as
Oregon Acupuncture Center
Practice address
15630 SE 90 Ave.
Clackamas, OR 97015-9729
Phone
(503) 657-3329
Fax
(503) 210-7905
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Gene George Hong, MDNPI 1417905506
Title
President
Phone
(503) 657-3329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD16691 OR Primary

Addresses

Primary practice location

15630 SE 90 Ave.
Clackamas, OR 97015-9729

Mailing address

15630 SE 90 Ave.
Clackamas, OR 97015-9729
Phone (503) 657-3329

Other names 1

  • Oregon Acupuncture Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416002340 OR Part B Supplier - Clinic/Group Practice 4486084381 Receives reassigned benefits from 1 practitioner
Practice locations: Clackamas, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1992978118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15630 SE 90 AVE.",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159729",
            "telephone_number": "503-657-3329",
            "fax_number": "503-210-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15630 SE 90 AVE.",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159729",
            "telephone_number": "503-657-3329",
            "fax_number": "503-210-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CLINICAL LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-657-3329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "MD16691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Acupuncture Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.