CULTIVATE WELLNESS ACUPUNCTURE & MASSAGE
NPI 1285166322
Acupuncturist in Portland, OR

NPI Status: Active since March 29, 2017

Contact Information

4004 SE WOODSTOCK BLVD # 5
PORTLAND, OR
ZIP 97202
Phone: (503) 777-0444

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  • Organization
  • Acupuncturist
  • Accepts Insurance

About CULTIVATE WELLNESS ACUPUNCTURE & MASSAGE

This page provides the complete NPI Profile along with additional information for Cultivate Wellness Acupuncture & Massage, a provider established in Portland, Oregon operating as a Acupuncturist. The healthcare provider is registered in the NPI registry with number 1285166322 assigned on March 2017. The practitioner's primary taxonomy code is 171100000X with license number AC01136 (OR). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Cultivate Wellness Acupuncture & Massage. The authorized official of this NPI record is Colleen Fridl Gibson L.ac. (Owner)

NPI
1285166322
Provider Legal Name
COLLEEN GIBSON ACUPUNCTURE LLC
Other Organization Name
CULTIVATE WELLNESS ACUPUNCTURE & MASSAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4004 SE WOODSTOCK BLVD # 5 PORTLAND, OR 97202
Location Phone
(503) 777-0444
Mailing Address
3735 SE 27TH AVE PORTLAND, OR 97202
Mailing Phone
(503) 730-9073
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2017
Last Update Date
03-29-2017
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An acupuncturist like Cultivate Wellness Acupuncture & Massage specializes in diagnosing, treating, and preventing some diseases using acupuncture needles. Acupuncturists carefully insert and manipulate fine, solid needles at specific points on the skin to achieve therapeutic benefits. Modern medicine explains that acupuncture works by stimulating the nervous system, causing the body to release certain chemicals, including endorphins, in the muscles, spinal cord, and brain. These chemicals assist the body in managing and regulating pain. Other commonly used treatment methods in acupuncture include herbs or mixtures of herbs, and acupressure, which involves massaging acupuncture points instead of using needles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Acupuncturist

Taxonomy Code
171100000X
Type
Other Service Providers
License No.
AC01136
License State
OR
Taxonomy Description
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6200 Legacy - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

COLLEEN FRIDL GIBSON L.AC.

Authorized Official Title
OWNER
Authorized Official Phone
(503) 370-9073

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500641110MEDICAID (05)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285166322
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165261234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 6 + 1 + 2 + 3 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1285166322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619389582 COURTNEY MARIN L.AC
Individual
Acupuncturist4004 SE WOODSTOCK BLVD # 5
PORTLAND, OR 97202
(805) 858-8053

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285166322, enumerated in the NPI registry as an "organization" on March 29, 2017

The provider is located at 4004 Se Woodstock Blvd # 5 Portland, Or 97202 and the phone number is (503) 777-0444

This medical organization specializes in Acupuncturist with taxonomy code 171100000X

The provider might be accepting Accepts: Moda Health Plan, Inc., Regence BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 29, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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