NPI 1770158354 · live from the CMS NPI Registry
Acupuncture Center Of Portland East LLC
Acupuncturist in Portland, OR. National Provider Identifier 1770158354, active.
NPI record
| NPI | 1770158354 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Acupuncturist 171100000X |
| Practice location | 3701 Se Milwaukie Ave Ste F, Portland, OR 97202 |
| Practice phone | 503-841-5323 |
| Enumerated | May 25, 2021 |
| Last updated | April 25, 2024 |
| Authorized official | Christopher Bonnichsen, President |
| Other names | Acupuncture Center Of Portland |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | — |
| Acupuncturist primary | 171100000X | — |
| Naturopath | 175F00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.