Individual provider Active NPI

Siamak F Shirazi, LAC, DOM (CANADA)

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1144288267
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00307 Issued in OR
Practice address
1255 NW 9TH Ave Apt 113
Portland, OR 97209-2886
Phone
(503) 655-0044
Fax
(503) 515-8099
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00307 OR Primary

Addresses

Primary practice location

1255 NW 9TH Ave Apt 113
Portland, OR 97209-2886

Mailing address

1255 NW 9TH Ave Apt 113
Portland, OR 97209-2886
Phone (503) 655-0044

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
AC00307ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
2Bwell Group, LLC Acupuncturist PastSince Dec 7, 2025 Accepting new patients

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144288267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 NW 9TH AVE APT 113",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092886",
            "telephone_number": "503-655-0044",
            "fax_number": "503-515-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 NW 9TH AVE APT 113",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092886",
            "telephone_number": "503-655-0044",
            "fax_number": "503-515-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAZI",
        "first_name": "SIAMAK",
        "middle_name": "F",
        "credential": "LAC, DOM (CANADA)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00307",
            "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 Jul 13, 2026; 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.