Jeanette E Dodge, LAC
Acupuncturist in Tigard, Oregon
1750520755- Practice location
- 10900 SW North Dakota St, Tigard, OR 97223-4121
- Phone
- 503-968-3124
- Fax
- —
- Last updated
- February 13, 2009
Jeanette E Dodge, LAC is a Acupuncturist based in Tigard, OR. Jeanette E Dodge, LAC holds the professional credentials of LAC. The NPI number for Jeanette E Dodge, LAC is 1750520755 and holds license No. AC00121 (OR). The current practice location address is 10900 SW North Dakota St, Tigard, OR 97223-4121 and the office can be reached by phone at 503-968-3124. The NPI was assigned on February 13, 2009 and the record was last updated in NPPES on February 13, 2009.
●Provider Profile Details
- NPI Number
- 1750520755
- Provider Name
- Jeanette Elizabeth Dodge
- Credential
- LAC
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Enumeration Date
- February 13, 2009
- Last Update Date
- February 13, 2009
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 10900 SW North Dakota St
Tigard, OR 97223-4121 - City
- Tigard
- State
- Oregon
- ZIP
- 97223-4121
- Country
- US
- Phone Number
- 503-968-3124
✉Business Mailing Address
- Address
- 11575 SW Pacific Hwy Ste 147
Tigard, OR 97223-8671 - City
- Tigard
- State
- OR
- ZIP
- 97223-8671
- Phone Number
- 503-968-3124
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Yes | AC00121 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Tigard →?Frequently Asked Questions
What is the NPI number of Jeanette E Dodge, LAC?
The NPI number of Jeanette E Dodge, LAC is 1750520755. It was assigned on February 13, 2009 and is currently active in the NPPES registry.
What is the specialty of Jeanette E Dodge, LAC?
Jeanette E Dodge, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X) and holds license No. AC00121 (OR).
Where does Jeanette E Dodge, LAC practice?
The practice location is 10900 SW North Dakota St, Tigard, OR 97223-4121. The office can be reached at 503-968-3124 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750520755 directly on the NPPES registry website at npiregistry.cms.hhs.gov.