Healthcare Provider Details

I. General information

NPI: 1255685343
Provider Name (Legal Business Name): DONGCHENG LI A.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2012
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15895 SW 72ND AVE STE 120
PORTLAND OR
97224-7984
US

IV. Provider business mailing address

13886 SW SABRINA AVE
SHERWOOD OR
97140-8024
US

V. Phone/Fax

Practice location:
  • Phone: 954-647-5531
  • Fax:
Mailing address:
  • Phone: 954-647-5531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC225518
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: