Healthcare Provider Details

I. General information

NPI: 1013821222
Provider Name (Legal Business Name): ACUPUNCTURE AND HERBAL THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 SW MORRISON ST STE 900
PORTLAND OR
97205-2228
US

IV. Provider business mailing address

1220 SW MORRISON ST STE 900
PORTLAND OR
97205-2228
US

V. Phone/Fax

Practice location:
  • Phone: 503-213-3745
  • Fax:
Mailing address:
  • Phone: 503-213-3745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAUREN MUNIM
Title or Position: LAC
Credential: DACM
Phone: 954-673-4338