Organization Active NPI

Cascade Mist Acupuncture LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1043006356
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
CASCADE MIST ACUPUNCTURE LLC
Practice address
3705 SE Cesar Chavez Blvd
Portland, OR 97202-1704
Phone
(971) 998-3505
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Dr. Scott David Mist, PHD, LACNPI 1285966317
Title
Owner
Phone
(971) 998-3505

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

3705 SE Cesar Chavez Blvd
Portland, OR 97202-1704

Mailing address

4116 SE Oak St
Portland, OR 97214-2032
Phone (971) 998-3505

National Provider Directory

National Provider Directory

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": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1043006356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 SE OAK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142032",
            "telephone_number": "971-998-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 SE CESAR CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021704",
            "telephone_number": "971-998-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MIST ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "MIST",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-998-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, 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 May 7, 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.