Healthcare Provider Details

I. General information

NPI: 1043123094
Provider Name (Legal Business Name): MEIZI JIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9520 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR
97005-3309
US

IV. Provider business mailing address

8697 NE TENNYSON LN
HILLSBORO OR
97006-2400
US

V. Phone/Fax

Practice location:
  • Phone: 503-433-8448
  • Fax:
Mailing address:
  • Phone: 205-563-3685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC231301
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: