Active NPI
Westlake Integrative Medicine LLC
- Acupuncturist
- Lake Oswego, OR
National Provider Identifier
1073302204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- WESTLAKE INTEGRATIVE MEDICINE LLC
- Practice address
- 14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775 - Phone
- (503) 479-5608
- NPI assigned
- May 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Yutan, MD
- Title
- Medical Doctor
- Phone
- (503) 479-5608
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
14535 Westlake Dr Ste B
Lake Oswego, OR 97035-7775
Mailing address
14110 Gabrielle CT
Lake Oswego, OR 97035-5759
Phone (503) 314-7889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114963196 | Other | TYPE 1 NPI |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1746403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1073302204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14110 GABRIELLE CT",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355759",
"telephone_number": "503-314-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 WESTLAKE DR STE B",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357775",
"telephone_number": "503-479-5608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTLAKE INTEGRATIVE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-04",
"status": "A",
"authorized_official_last_name": "YUTAN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "503-479-5608",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1114963196",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.