Sierra Nicole Abate, L.AC.
Individual provider Active NPI Acupuncturist · Portland, OR
NPI 1235527482 · NPPES record last updated Dec 22, 2014
Key facts
- NPI
- 1235527482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC169954 (OR)
- Practice address
- 2808 NE MLK Blvd
Suite C
Portland, OR 97212 - Phone
- (520) 907-6339
- NPI assigned
- Dec 22, 2014
- 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 |
|---|---|---|---|
| AC16075 | CA | MD | Acupuncturist |
| AC169954 | OR | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC169954 | OR | Yes |
| Acupuncturist | 171100000X | AC16075 | CA |
Addresses
Primary practice location
2808 NE MLK Blvd
Suite C
Portland, OR 97212
Mailing address
2808 NE MLK Blvd
Suite C
Portland, OR 97212
Phone (520) 907-6339
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2014. 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.