Individual provider Active NPI

Monique Handloser, LAC

  • Acupuncturist
  • Corvallis, OR
National Provider Identifier
1003602830
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC223813 Issued in OR
Practice address
107 SW 2ND St
Corvallis, OR 97333-4715
Phone
(541) 602-8172
NPI assigned
Apr 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC223813 OR Primary

Addresses

Primary practice location

107 SW 2ND St
Corvallis, OR 97333-4715

Mailing address

468 29TH PL
Philomath, OR 97370-9369
Phone (541) 609-0087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC223813ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Corvallis Acupuncture and Wellness Center Acupuncturist CurrentSince Apr 20, 2025 Accepting new patients

Locations

107 SW 2nd St
Corvallis, OR 97333
Phone (541) 363-3100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1003602830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 29TH PL",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709369",
            "telephone_number": "541-609-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SW 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334715",
            "telephone_number": "541-602-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLOSER",
        "first_name": "MONIQUE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC223813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.