Heart Bridge Medicinal Arts LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

HEART BRIDGE MEDICINAL ARTS LLC

Practice address

1734 NE Broadway St
Portland, OR 97232-2783

Phone

(971) 808-9186

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Lori Kristen Miracle, LAC, MSNPI 1154969947

Title

Owner

Phone

(971) 808-9186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Kristen Miracle, L.AC

  • Acupuncturist
  • Portland, OR
  • NPI 1154969947
  NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235973892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 N WILLAMETTE BLVD APT 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174080",
            "telephone_number": "971-808-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322783",
            "telephone_number": "971-808-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART BRIDGE MEDICINAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-09-11",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-808-9186",
        "authorized_official_credential": "LAC, MS"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.