Rebecca Marie Gray Davis, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC219479 Issued in OR

Practice address

18840 SW Boones Ferry Rd Ste 110
Tualatin, OR 97062-9688

Phone

(503) 941-5351

NPI assigned

Oct 22, 2024

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TCM Acupuncture and Massage Clinic

  dba Peaceful Sky Acupuncture & Massage Clinic

  • Acupuncturist
  • Lake Oswego, OR
  • NPI 1518521038
  NPD (past)

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1144041286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16409 SE DIVISION ST",
            "address_2": "STE 216 #1017",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18840 SW BOONES FERRY RD STE 110",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629688",
            "telephone_number": "503-941-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "REBECCA",
        "middle_name": "MARIE GRAY",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC219479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reid Thomas Davidson, DC
• Katy Davies
• Debra Kaye Davis, M.D.
• Elizabeth Chelsea Davis, RBAI
• Melissa Davis, MSN, FNP-C
• Aaron Scott Davison, D.C.
• James Edward Davison, DC PC
• Grant T Dawson, D.C.
• Nicholas Arthur Dawson, MD
• Shyann M De la Torre, RBAI

• Acupuncturist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.