LORI KRISTEN MIRACLE


Address: Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232
Phone: 5037018766

LORI KRISTEN MIRACLE (NPI# 1154969947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154969947
Entity Type Individual
Full Name LORI KRISTEN MIRACLE
Credential L.AC
Practice Address Kwan Yin Healing Arts Center East Inc
3115 Ne Sandy Blvd. Suite 231
Portland
OR 97232
Mailing Address 3123 N Willamette Blvd Apt 201
Portland
OR 97217-4080
Practice Telephone 5037018766
Mailing Telephone 9718089186
Enumeration Date 2019-12-12
Last Update Date 2019-12-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist AC196256 OR Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
Sara Bowes At M'illumino Natural Medicine, 2505 Southeast 11th Avenue #218, Portland, OR 97202 2062903461

Office Location

Street Address KWAN YIN HEALING ARTS CENTER EAST INC
3115 NE SANDY BLVD. SUITE 231
City PORTLAND
State OR
Zip Code 97232

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NPI Name Taxonomy Address Enumeration
1881293215 Oregon Change Clinic Clinic/Center 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 2020-10-17
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
1043755028 Raolat Ajibade IIi Adult Companion 847 N.e 19thave, Portland, OR 97232 2016-12-29
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Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669073490 Krista Marie Obenlock Acupuncturist 2408 N Baldwin St, Portland, OR 97217-6404 2020-11-06
1841897550 Woven Wellness LLC Acupuncturist 6511 N Interstate Ave, Portland, OR 97217-4835 2020-10-06
1518571322 Charisse Renee Squires Acupuncturist 1804 Se Oak St, Portland, OR 97214-1538 2020-08-31
1659989069 Touchet Acupuncture Acupuncturist 4605 Ne Fremont St Ste 204a, Portland, OR 97213-1715 2020-07-22
1417571480 Dragon Rises Center for Wholeness Acupuncturist 4852 Sw Scholls Ferry Rd, Portland, OR 97225-1698 2020-06-04
1972126191 Acupuncture By Maya Martinez LLC Acupuncturist 12732 Se Stark St Bldg G, Portland, OR 97233-1539 2020-05-21
1437771854 Hannah Grice Acupuncturist 11750 Sw Barnes Rd Ste 240, Portland, OR 97225-5911 2020-05-07
1164043022 Michelle Yan Acupuncturist 2855 Nw Thurman St, Portland, OR 97210-2206 2020-05-01
1174144562 Dean Mcnash Acupuncturist 2222 Se Woodward St, Portland, OR 97202-2157 2020-04-27
1205456548 Zev J Alpert Acupuncturist 3150 Sw Bertha Blvd Apt 11, Portland, OR 97239-1181 2020-04-16
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Competitor

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City PORTLAND
Zip Code 97232

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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