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is a Acupuncturist based in Portland, Oregon. is licensed to practice in * (Not Available) (license number ) and their current practice location is 736 Se 60th Ave, Portland, Oregon. It can be reached at their office (for appointments etc.) via phone at (503) 217-4457.

NPI number for is 1972279685 and their current mailing address is 3125 Ne Holladay St Unit B, Portland, Oregon. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1972279685.

Contact Information

736 Se 60th Ave,
Portland, OR 97215-1906
(503) 217-4457
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityAcupuncturist
Location736 Se 60th Ave, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972279685
  • Provider Enumeration Date: 08/22/2021
  • Last Update Date: 08/27/2021

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972279685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
171100000XAcupuncturist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3125 Ne Holladay St Unit B,
Portland, OR 97232-2504

Ph: (503) 217-4457
736 Se 60th Ave,
Portland, OR 97215-1906

Ph: (503) 217-4457

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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