MEDICARE: SIAMAK F SHIRAZI LAC, DOM (CANADA)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC00307	OR

General Provider Information

NPI Number	:	1144288267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIAMAK F SHIRAZI LAC, DOM (CANADA)

Provider Business Mailing Address
First Line	:	1255 NW 9TH AVE APT 113
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-2886
Country	:	US
Telephone Number	:	503-655-0044
Fax Number	:	503-515-8099

Provider Business Practice Location Address
First Line	:	1255 NW 9TH AVE APT 113
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-2886
Country	:	US
Telephone Number	:	503-655-0044
Fax Number	:	503-515-8099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	12/05/2025

Similar Medicare Providers

1184898389 — DR. JASON LEE SHERBONDY ND
Practice Location Address:

1255 NW 9TH AVE , SUITE 107
PORTLAND, OR
97209-2886

Practice Phone: 503-880-5755
Practice Fax:

1952476590 — DR. LLOYD CHARLES REITER N.D. , D.C.
Practice Location Address:

522 NW 12TH AVE
PORTLAND, OR
97209-3001

Practice Phone: 503-227-2886
Practice Fax:

1881725695 — DR. PETER E. LEITNER D.C.
Practice Location Address:

522 NW 12TH AVE
PORTLAND, OR
97209-3001

Practice Phone: 503-227-2886
Practice Fax: 503-790-1004

1710164181 — PENTIMENTO, INC.
Practice Location Address:

522 NW 12TH AVE
PORTLAND, OR
97209-3001

Practice Phone: 503-227-2886
Practice Fax: 503-790-1004

1104600113 — WISE CHIROPRACTIC, LLC
Practice Location Address:

522 NW 12TH AVE
PORTLAND, OR
97209-3001

Practice Phone: 503-227-2886
Practice Fax: 503-790-1004

1467865170 — ALEXANDRA CROCKETT PSYD
Practice Location Address:

1336 NW FLANDERS ST STE 100
PORTLAND, OR
97209-2645

Practice Phone: 510-440-3622
Practice Fax:

Directions to “ SIAMAK F SHIRAZI LAC, DOM (CANADA)” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.