WHITE PHOENIX ACUPUNCTURE - NPI 1417207184 - Clinic/Center in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261Q00000X.

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About White Phoenix Acupuncture NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE PHOENIX ACUPUNCTURE (NPI 1417207184) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since September 2012. The organization lists Allyndreth Stead, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1417207184

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameWHITE PHOENIX ACUPUNCTURE

Location Address6913 SE FOSTER RDPortland, OR 97206-4547

Mailing Address6913 Se Foster RdPortland, OR 97206-4547 · (503) 235-7653 · Fax (503) 398-6092

Phone(503) 235-7653

Fax(866) 398-6092

Organization SubpartNo

Authorized OfficialAllyndreth SteadPresident & Ceo · (503) 235-7653

Enumeration DateSeptember 10, 2012

Last NPPES UpdateDecember 3, 2020

NPPES CertifiedDecember 3, 2020

✔ NPI 1417207184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in OR · 1510566-3

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedAcupuncturistTaxonomy 171100000X

6913 SE FOSTER RD, Portland, OR 97206

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP