Active NPI
Julian McEnroe, LAC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1003679499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC218973
- Practice address
- 11786 NW Cedar Falls Dr Ste 220
Portland, OR 97229-2787 - Phone
- (503) 530-8839
- NPI assigned
- Jan 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC218973 | OR | Primary |
Addresses
Primary practice location
11786 NW Cedar Falls Dr Ste 220
Portland, OR 97229-2787
Mailing address
4817 N Michigan Ave
Portland, OR 97217-3128
Phone (661) 747-8569
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC218973 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Health and Wellness LLC | Current | Accepting new patients | |
| Moonlight Acupuncture LLC | Acupuncturist | Current | Accepting new patients |
| Performance Bodywork LLC | Acupuncturist | Past | Accepting new patients |
Locations
4855 River Rd N
Keizer, OR 97303
Phone (503) 393-1499
Organizations & group practices 3
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.
-
- Acupuncturist
- Portland, OR
- NPI 1437008380
-
- Pain Clinic/Center
- Keizer, OR
- NPI 1235755596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1003679499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4817 N MICHIGAN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972173128",
"telephone_number": "661-747-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11786 NW CEDAR FALLS DR STE 220",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972292787",
"telephone_number": "503-530-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCENROE",
"first_name": "JULIAN",
"credential": "LAC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-30",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC218973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.