Robin Kate Bevin Wiesner, L.AC
Individual provider Active NPI Acupuncturist · Stevenson, WA
NPI 1225612435 · NPPES record last updated Dec 29, 2022
Key facts
- NPI
- 1225612435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC61019238 (WA)
- Practice address
- 640 NE Major St
Stevenson, WA 98648-6347 - Phone
- (631) 258-6493
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC0100030 | AZ | MD | Acupuncturist |
| AC204758 | OR | MD | Acupuncturist |
| AC61019238 | WA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC204758 | OR | |
| Acupuncturist | 171100000X | LAC0100030 | AZ | |
| Acupuncturist | 171100000X | AC61019238 | WA | Yes |
Addresses
Primary practice location
640 NE Major St
Stevenson, WA 98648-6347
Mailing address
PO Box 1351
Stevenson, WA 98648-1351
Phone (631) 258-6493
Other practice location 1
2901 E Burnside St
Portland, OR 97214-1831
Phone (503) 238-5203
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rwiesner@quest-center.org | Direct |
Other providers in Stevenson, WA
- Julee Vanderdasson
- Susie A Veley
- Viriditas Naturopathic Medicine, PLLC
- Andrew Waters
- Aryonna Bella Waters
- WRP, LLC
- Crystal Mayola Wyrick
All providers in Stevenson, WA · Acupuncturist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.