MEDICARE: IKIGAI WELLNESS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225700000X	Massage Therapist
2	111N00000X	Chiropractor
3	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1487343299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IKIGAI WELLNESS LLC

Provider Business Mailing Address
First Line	:	9600 SW OAK ST STE 410
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-6581
Country	:	US
Telephone Number	:	503-308-8676
Fax Number	:	503-821-7881

Provider Business Practice Location Address
First Line	:	9600 SW OAK ST STE 410
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-6581
Country	:	US
Telephone Number	:	503-308-8676
Fax Number	:	503-821-7881

Authorized Official
Title or Position	:	OWNER & ACUPUNCTURIST
Name	:	MRS. AMY NICOLE HOMER-BROWN
Credential	:	MBBS, MSOM, LAC
Telephone Number	:	503-308-8676

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	01/01/2026

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Directions to “IKIGAI WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

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