NPIMap

Organization Active NPI

Gather Community Acupuncture LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1033056007
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GATHER COMMUNITY ACUPUNCTURE LLC
Practice address
1809 NE 2ND Ave
Portland, OR 97212-3933
Phone
(503) 683-2826
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Kelly Lynn Baucum, LACNPI 1104284736
Title
Owner
Phone
(503) 683-2826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1809 NE 2ND Ave
Portland, OR 97212-3933

Mailing address

1809 NE 2ND Ave
Portland, OR 97212-3933
Phone (503) 329-3578

National Provider Directory

National Provider Directory

Locations

1809 NE 2nd Ave
Portland, OR 97212
Phone (503) 683-2826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1033056007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123933",
            "telephone_number": "503-329-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123933",
            "telephone_number": "503-683-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATHER COMMUNITY ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BAUCUM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-683-2826",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 Apr 29, 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.

Verify at the official NPI Registry.