NORTHWEST ACUPUNCTURE (NPI# 1225445166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225445166 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ACUPUNCTURE |
| Practice Address |
10224 Sw Park Way # A Portland OR 97225-5010 |
| Practice Telephone | 5032971174 |
| Practice Fax Number | 5032972623 |
| Mailing Telephone | 5032971174 |
| Mailing Fax Number | 5032972623 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |
| Authorized Official Name | DR. IN HYONGYU YU (OWNER) |
| Authorized Official Telephone | 5032971174 |
| Authorized Official Credential | DAOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | AC01149 | OR | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST ACUPUNCTURE BILLING | 3060 Sw 123rd Ave, Beaverton, OR 97005 |
| Oregon Corporations, Companies and Business Names | NORTHWEST ACUPUNCTURE BILLING, LLC | 12750 Sw 2nd Street, Suite 102, Beaverton, OR 97005 |
| Oregon Corporations, Companies and Business Names | NORTHWEST ACUPUNCTURE CENTER LLC | 11775 Sw Greenburg Rd, Tigard, OR 97223 |
| Oregon Corporations, Companies and Business Names | NORTHWEST ACUPUNCTURE, LLC | 1675 Sw Marlow Ave # A, Portland, OR 97225 |
| Street Address |
10224 SW PARK WAY # A |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215387402 | Fabiana Garcia | Preferred Provider Organization | 18139 Ne Couch St, Portland, OR 97230-7281 | 2016-06-17 |
| 1730538273 | Paula Lowden | Preferred Provider Organization | 1023 Se Lambert St, Portland, OR 97202-6329 | 2016-06-06 |
| 1770905879 | Willamette Dental | Preferred Provider Organization | 17804 Nw Marylhurst Dr, Portland, OR 97229-7913 | 2014-01-09 |
| 1366882318 | Radu Pescarus | Preferred Provider Organization | 408 Nw 12th Ave Apt 304, Portland, OR 97209-2945 | 2013-07-04 |
| 1679703458 | Intercultual Psychiatric Progam | Preferred Provider Organization | 3633 Se 35th Place, Portland, OR 97202 | 2009-07-15 |
| 1811940422 | Healthcare Resources Northwest Inc | Preferred Provider Organization | 305 Ne 102nd Ave, Suite 250, Portland, OR 97220-4161 | 2006-05-18 |
| 1356348106 | Cascade 205 Orthopedic and Sports Physical Therapy, PC | Preferred Provider Organization | 9260 Se Stark St, Suite B, Portland, OR 97216-1640 | 2005-07-07 |
| 1053857482 | Ian Wilkinson Lac | Preferred Provider Organization | 4829 Ne Martin Luther King Blvd, Suite 101, Portland, OR 97211-3491 | 2017-01-09 |
| 1194195453 | Makai Massage & Spa, LLC | Preferred Provider Organization | 3758 Se Milwaukie Ave, Portland, OR 97202-3805 | 2015-09-30 |
| 1679942007 | Makai Massage & Spa | Preferred Provider Organization | 3758 Se Milwaukie Ave, Portland, OR 97202-3805 | 2015-09-16 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.