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Active NPI 1144763285 Organization (Entity Type 2)

Acupuncture By Jenn

Point of Service • Gresham, OR

About Acupuncture By Jenn NPI 1144763285 Summary

Acupuncture By Jenn is a verified healthcare organization specializing in Point of Service operating in Gresham, OR. Located at 109 N MAIN AVE, SUITE 201, this facility provides patient care and medical services under National Provider Identifier (NPI) 1144763285.

Administrative operations and authorized compliance are overseen by Jennifer Hudson (Owner).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

109 N Main Ave
Suite 201

Gresham, OR 970307200

Telephone 5036651999

Authorized Official Information

Authorized Contact Name

Jennifer Hudson , LAC

Title / Role

Owner

Official Telephone

5036651999

Facility Classifications & Specialties

Point of Service Primary Taxonomy

NUCC Taxonomy Code: 305S00000X

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Chiropractor

Gresham, OR

View Practitioner Profile →
Arianne Keller NPI 1841748563

Acupuncturist

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active November 21, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 21, 2016

Registered at 109 N MAIN AVE, SUITE 201, GRESHAM, OR 970307200 (Tel: 5036651999)

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Updated Business Mailing Address November 21, 2016

Registered at 109 N MAIN AVE, SUITE 201, GRESHAM, OR 970307200 (Tel: 5036651999)

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Organization / Clinic Name Updated November 21, 2016

Operating as ACUPUNCTURE BY JENN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2016

Point of Service (License #179910 in OR)

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Initial NPI Registration & Enumeration November 21, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1144763285
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 21, 2016
Last Update: November 21, 2016

Mailing Address

109 N Main Ave, Suite 201

Gresham, OR 970307200

Phone: 5036651999

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.