MEDICARE: PATRICIA HALLAM L.AC.

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	AC00940	OR

General Provider Information

NPI Number	:	1710937909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA HALLAM L.AC.

Provider Business Mailing Address
First Line	:	5075 SW GRIFFITH DR STE 210
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97005-3045
Country	:	US
Telephone Number	:	503-421-9339
Fax Number	:	503-530-8174

Provider Business Practice Location Address
First Line	:	5075 SW GRIFFITH DR STE 210
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97005-3045
Country	:	US
Telephone Number	:	503-421-9339
Fax Number	:	503-530-8174

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	02/04/2026

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Directions to “ PATRICIA HALLAM L.AC.” Practice Location

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