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NPI Code Detail

MEDICARE: KWAN YIN HEALING ARTS CENTER

MEDICARE: KWAN YIN HEALING ARTS CENTER
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
1171100000XAcupuncturist624OR
2171100000XAcupuncturist1115OR
3225100000XPhysical Therapist
4171100000XAcupuncturist1119OR
5111N00000XChiropractor
6175F00000XNaturopath1580OR
7171100000XAcupuncturist00585OR

General Provider Information

NPI Number : 1417122771
Entity Type Code : Organization
Provider Name (Legal Business Name) : KWAN YIN HEALING ARTS CENTER
Provider Business Mailing Address
First Line : 2330 NW FLANDERS ST STE 101
Second Line :
City : PORTLAND
State : OR
Zip : 97210-3400
Country : US
Telephone Number : 503-701-8766
Fax Number : 503-241-5484
Provider Business Practice Location Address
First Line : 2330 NW FLANDERS ST STE 101
Second Line :
City : PORTLAND
State : OR
Zip : 97210-3400
Country : US
Telephone Number : 503-701-8766
Fax Number : 503-241-5484
Authorized Official
Title or Position : PRESIDENT
Name : DAVID BERKSHIRE
Credential : L.AC.
Telephone Number : 503-701-8766
Provider Enumeration Date : 04/28/2008
Last Update Date : 10/23/2025

Similar Medicare Providers

1477511624 — MR. DAVID BERKSHIRE L. AC.
Practice Location Address:
2330 NW FLANDERS ST STE 101
PORTLAND, OR
97210-3400
Practice Phone: 503-701-8766
Practice Fax: 503-241-5484
1083724777 — THOMAS MELVILLE
Practice Location Address:
2330 NW FLANDERS ST STE 101
PORTLAND, OR
97210-3400
Practice Phone: 503-288-8578
Practice Fax:
1063504397 — DR. SCOTT M MURRAY MD
Practice Location Address:
2330 NW FLANDERS ST , SUITE 107
PORTLAND, OR
97210-3400
Practice Phone: 503-252-0322
Practice Fax:
1982787891 — DR. RANDALL HUGH LEAVITT D.C.
Practice Location Address:
2330 NW FLANDERS ST STE 101
PORTLAND, OR
97210-3400
Practice Phone: 503-228-5000
Practice Fax: 503-228-5019
1164547774 — SEAN O HERRIN D.C.
Practice Location Address:
2330 NW FLANDERS ST STE 101
PORTLAND, OR
97210-3400
Practice Phone: 503-701-8766
Practice Fax: 503-241-5484
1104030907 — DR. SARA K HART ND, LAC, LMT
Practice Location Address:
2330 NW FLANDERS ST STE 101
PORTLAND, OR
97210-3400
Practice Phone: 503-701-8766
Practice Fax:

Directions to “KWAN YIN HEALING ARTS CENTER ” Practice Location

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