Individual provider Active NPI

Marcia Ann Mueller, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1144268954
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00397 Issued in OR
Practice address
7380 SW Gable Park Rd
Portland, OR 97225-2630
Phone
(503) 291-9116
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00397 OR Primary

Addresses

Primary practice location

7380 SW Gable Park Rd
Portland, OR 97225-2630

Mailing address

7380 SW Gable Park Rd
Portland, OR 97225-2630
Phone (503) 291-9116

Other practice location 1

10700 SW Beaverton Hillsdale Hwy Ste 560
Beaverton, OR 97005-4791
Phone (503) 291-9116

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
AC00397ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1144268954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 SW GABLE PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252630",
            "telephone_number": "503-291-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 SW GABLE PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252630",
            "telephone_number": "503-291-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 SW Beaverton Hillsdale Hwy Ste 560",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970054791",
            "country_code": "US",
            "telephone_number": "503-291-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MARCIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00397",
            "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 Jun 17, 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.