Individual provider Active NPI

Haley Katherine Bott, DACM, LAC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1083418578
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC223630 Issued in OR
Practice address
735 NE Roselawn St
Portland, OR 97211-3831
Phone
(619) 607-8779
NPI assigned
Apr 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 AC223630 OR Primary

Addresses

Primary practice location

735 NE Roselawn St
Portland, OR 97211-3831

Mailing address

735 NE Roselawn St
Portland, OR 97211-3831
Phone (619) 607-8779

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
AC223630ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Loom Acupuncture LLC Acupuncturist CurrentSince Jun 15, 2025 Accepting new patients

Locations

1626 NE Alberta St
Ste C
Portland, OR 97211
Phone (503) 210-1665

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": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1083418578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 NE ROSELAWN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113831",
            "telephone_number": "619-607-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 NE ROSELAWN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113831",
            "telephone_number": "619-607-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTT",
        "first_name": "HALEY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DACM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC223630",
            "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 3, 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.