HAWTHORNE EAST ASIAN MEDICAL CLINIC (NPI# 1497274922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497274922 |
| Entity Type | Organization |
| Organization Name | HAWTHORNE EAST ASIAN MEDICAL CLINIC |
| Other Organization Name | LAURELHURST FAMILY CLINIC LLC |
| Practice Address |
4410 Ne Glisan St Portland OR 97213-2331 |
| Mailing Address |
2706 Se Lincoln St Portland OR 97214-5556 |
| Practice Telephone | 5034705200 |
| Practice Fax Number | 5032346338 |
| Mailing Telephone | 5039282595 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MRS. KATHERINE ANNA HABER (OWNER, ACUPUNCTURIST) |
| Authorized Official Telephone | 5034705200 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | AC153031 | OR | Other Service Providers |
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| Y | 171100000X | Acupuncturist | AC161513 | OR | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Laurelhurst Family Clinic | Doing Business As Name - Organization |
| Laurelhurst Family Clinic LLC | Doing Business As Name - Organization |
| Street Address |
4410 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689715666 | Phillip G Racies | Marriage & Family Therapist | 4410 Ne Glisan St, Portland, OR 97213 | 2007-02-10 |
| 1932748035 | Malia Susee, L.ac, Macom, Dipl.om | Acupuncturist | 4410 Ne Glisan St, Portland, OR 97213-2331 | 2020-01-06 |
| 1720596117 | Laurelhurst Family Clinic | Acupuncturist | 4410 Ne Glisan St, Portland, OR 97213-2331 | 2018-01-19 |
| 1477077436 | Turning Pointe Acupuncture | Acupuncturist | 4410 Ne Glisan St, Portland, OR 97213-2331 | 2017-08-01 |
| 1588056980 | Jonathan Ho | Acupuncturist | 4410 Ne Glisan St, Portland, OR 97213-2331 | 2015-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| 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 |
|---|---|---|---|---|
| 1669073490 | Krista Marie Obenlock | Acupuncturist | 2408 N Baldwin St, Portland, OR 97217-6404 | 2020-11-06 |
| 1841897550 | Woven Wellness LLC | Acupuncturist | 6511 N Interstate Ave, Portland, OR 97217-4835 | 2020-10-06 |
| 1518571322 | Charisse Renee Squires | Acupuncturist | 1804 Se Oak St, Portland, OR 97214-1538 | 2020-08-31 |
| 1659989069 | Touchet Acupuncture | Acupuncturist | 4605 Ne Fremont St Ste 204a, Portland, OR 97213-1715 | 2020-07-22 |
| 1417571480 | Dragon Rises Center for Wholeness | Acupuncturist | 4852 Sw Scholls Ferry Rd, Portland, OR 97225-1698 | 2020-06-04 |
| 1972126191 | Acupuncture By Maya Martinez LLC | Acupuncturist | 12732 Se Stark St Bldg G, Portland, OR 97233-1539 | 2020-05-21 |
| 1437771854 | Hannah Grice | Acupuncturist | 11750 Sw Barnes Rd Ste 240, Portland, OR 97225-5911 | 2020-05-07 |
| 1164043022 | Michelle Yan | Acupuncturist | 2855 Nw Thurman St, Portland, OR 97210-2206 | 2020-05-01 |
| 1174144562 | Dean Mcnash | Acupuncturist | 2222 Se Woodward St, Portland, OR 97202-2157 | 2020-04-27 |
| 1205456548 | Zev J Alpert | Acupuncturist | 3150 Sw Bertha Blvd Apt 11, Portland, OR 97239-1181 | 2020-04-16 |
| 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.