PACIFIC NORTHWEST ACUPUNCTURE&HERBAL CLINICLLC NPI 1417120775

NPI Information

  • NPI: 1417120775
  • Provider Name: PACIFIC NORTHWEST ACUPUNCTURE&HERBAL CLINIC,LLC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Organization
  • Address: 6655 SW HAMPTON ST
    SUITE100
    PORTLAND, OR
    ZIP 97223
  • Phone: (503) 684-9717

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NPI Details

PACIFIC NORTHWEST ACUPUNCTURE&HERBAL CLINIC,LLC is an acupuncturist in Portland, OR. The provider is 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. PACIFIC NORTHWEST ACUPUNCTURE&HERBAL CLINIC,LLC NPI is 1417120775. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6655 SW HAMPTON ST
SUITE100
PORTLAND, OR
ZIP 97223-300
Phone: (503) 684-9717
Fax: (503) 684-6038

The provider's authorized official is Marianna Dubova .
The authorized official title is Licensed Acupuncturist and has the following contact phone number (503) 684-9717.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistAC00597OREGONYes

What is NPI?

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This page was last updated on: 3/30/2025

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