Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SPORTLAND ACUPUNCTURE LLC
Active
Organization
SPORTLAND ACUPUNCTURE LLC
Active
Other names
Sportland Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE MOORE RENAE MOORE LAC (ACUPUNCTURIST)
(503) 679-3872
Entity
Organization
Contact information
Practice address
1025 N HUMBOLDT, PORTLAND, OR 97217
(503) 679-3872
Mailing address
1025 N HUMBOLDT, PORTLAND, OR 97217
(503) 679-3872
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156421
OR
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers