Organization Active NPI

Loom Acupuncture LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1295620813
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LOOM ACUPUNCTURE LLC
Practice address
1626 NE Alberta St Ste C
Portland, OR 97211-5048
Phone
(503) 210-1665
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Dr. Haley Katherine Bott, DACM, LACNPI 1083418578
Title
Acupuncturist
Phone
(619) 607-8779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1626 NE Alberta St Ste C
Portland, OR 97211-5048

Mailing address

735 NE Roselawn St
Portland, OR 97211-3831
Phone (619) 607-8779

National Provider Directory

National Provider Directory

Locations

1626 NE Alberta St
Ste C
Portland, OR 97211
Phone (503) 210-1665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1295620813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 NE ROSELAWN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113831",
            "telephone_number": "619-607-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 NE ALBERTA ST STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115048",
            "telephone_number": "503-210-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOM ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "BOTT",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "619-607-8779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 Jun 12, 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.