GREEN LOTUS ACUPUNCTURE, LLC (NPI# 1396092573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396092573 |
| Entity Type | Organization |
| Organization Name | GREEN LOTUS ACUPUNCTURE, LLC |
| Practice Address |
2100 Se Lake Rd Ste 1 Milwaukie OR 97222-7759 |
| Mailing Address |
1208 Se Lambert St Apt 1 Portland OR 97202-6369 |
| Practice Telephone | 5037897661 |
| Mailing Telephone | 5037897661 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Authorized Official Name | MARY JEAN BRINKMAN (OWNER) |
| Authorized Official Telephone | 5037897661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC153318 | OR | Other Service Providers |
| Street Address |
2100 SE LAKE RD STE 1 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-7759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598068538 | Kimberly Elizabeth Kimber | Specialist | 2100 Se Lake Rd Ste 1, Milwaukie, OR 97222-7759 | 2010-12-14 |
| 1083223622 | Ronnie Peerea Kloak | Massage Therapist | 2100 Se Lake Rd Ste 1, Milwaukie, OR 97222-7759 | 2020-07-29 |
| 1386114379 | Jordan L Farah | Massage Therapist | 2100 Se Lake Rd Ste 1, Milwaukie, OR 97222-7759 | 2018-12-03 |
| 1235643065 | Justin Corey Johnson | Massage Therapist | 2100 Se Lake Rd Ste 1, Milwaukie, OR 97222-7759 | 2017-12-01 |
| 1255880316 | David Stuart Rief | Chiropractor | 2100 Se Lake Rd Ste 1, Milwaukie, OR 97222-7759 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194351882 | Sarah M Baden Inc | Acupuncturist | 2100 Se Lake Rd Ste 3, Milwaukie, OR 97222-7759 | 2020-03-13 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1033656020 | Jennifer Edwards | Acupuncturist | 6902 Se Lake Rd Ste 203, Milwaukie, OR 97267-2148 | 2017-01-27 |
| 1467908848 | Fox Point Acupuncture and Wellness | Acupuncturist | 4143 Se Harrison St, Milwaukie, OR 97222-5859 | 2016-08-26 |
| 1639625114 | Stephen Jacobsen | Acupuncturist | 10500 Se 26th Ave, Apt. G22, Milwaukie, OR 97222-9600 | 2016-08-25 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1932568458 | Kirsten Karen Isakson | Acupuncturist | 7831 Se Lake Rd Ste 102, Milwaukie, OR 97267-2193 | 2016-02-11 |
| 1174994867 | Patrick Gazzini | Acupuncturist | 10330 Se 32nd Ave Ste 120, Milwaukie, OR 97222-6596 | 2015-10-07 |
| 1457621039 | Healing Path Acupuncture & Herbal Medicine | Acupuncturist | 2305 Se Washington St Ste 109, Milwaukie, OR 97222-7647 | 2012-01-12 |
| 1487944245 | Susan D Buhler | Acupuncturist | 4160 Se International Way, Suite D-205, Milwaukie, OR 97222-8862 | 2011-04-13 |
| Find all providers in MILWAUKIE | ||||
Please comment or provide details below to improve the information on GREEN LOTUS ACUPUNCTURE, LLC.
| 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.