Individual provider Active NPI

Jacob Robert Daumen, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1225263700
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00937 Issued in OR
Practice address
5802 SE Powell Blvd # 201
Portland, OR 97206-2826
Phone
(503) 567-5586
NPI assigned
May 27, 2009
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00937 OR Primary

Addresses

Primary practice location

5802 SE Powell Blvd # 201
Portland, OR 97206-2826

Mailing address

PO Box 66311
Portland, OR 97290-6311
Phone (503) 753-4313

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
AC00937ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Accurate Injury Care & Wellness LLC Acupuncturist CurrentSince Aug 2, 2020 Accepting new patients

Locations

5802 SE Powell Blvd
#201
Portland, OR 97206
Phone (503) 567-5586

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1225263700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66311",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972906311",
            "telephone_number": "503-753-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 SE POWELL BLVD # 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062826",
            "telephone_number": "503-567-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUMEN",
        "first_name": "JACOB",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00937",
            "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 23, 2020; 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.