Genevieve Johnson Lac Llc

LBN: Genevieve Johnson Lac Llc
Genevieve Johnson Lac Llc is an health care organization with primary practice located at 240 Se 87Th Ave , Portland OR 97216-1528. The organization recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as the primary health care specialty. Genevieve Johnson Lac Llc can be contacted via phone (503) 440-2942, or through Johnson, Genevieve Lynn via phone (503) 440-2942.

Contact Information

Primary practice address
240 Se 87Th Ave Portland OR 97216-1528
Phone: (503) 440-2942
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Genevieve Lynn Licensed Acupuncturist (LAC)
Phone: (503) 440-2942

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC01225 Oregon

Profile Details

NPI number 1740549617
LBN Legal business name Genevieve Johnson Lac Llc
DBA Doing business as
Authorized official Johnson, Genevieve Lynn Licensed Acupuncturist (LAC)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2012
Last updated Feb 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740549617 NPPES
Oregon MEDICAID 500646474

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