Healthcare Provider Details

I. General information

NPI: 1679364954
Provider Name (Legal Business Name): ALLEVIATE ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 SE DOUGLAS ST # F-3
NEWPORT OR
97365-4499
US

IV. Provider business mailing address

1203B N SIGNAL ST
OJAI CA
93023-1831
US

V. Phone/Fax

Practice location:
  • Phone: 805-826-8594
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: VANESSA LEILANI TUCKER
Title or Position: CLINIC DIRECTOR
Credential: LAC
Phone: 541-351-8131