Jacob Rockwell, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC203512 Issued in OR

Practice address

4943 NE MLK Blvd
Portland, OR 97211-3353

Phone

(971) 506-4236

NPI assigned

Feb 11, 2021

Last updated

Feb 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mandala Medicine Acupuncture LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1952600124
  NPD
• Evolve Wellness

  • Chiropractor
  • Portland, OR
  • NPI 1033518709
  NPD (past)

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1346833241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 NE 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123859",
            "telephone_number": "971-506-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 NE MLK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113353",
            "telephone_number": "971-506-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "JACOB",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC203512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocklin Physical Therapy
• Anthony S. Rocklin, PT
• Sarah Rocklin, MA, CCC-SLP
• Danielle Rockstad, DVM
• Allison Rockwell
• Linda Clifford Rockwell, MSW LCSW BCD
• Rockwood Health Clinic Pharmacy (Multnomah County Oregon- Rockwood Health Clinic Pharmacy)
• Catherine Clare Rockwood, M.D.
• Hannah J Rockwood
• Ryan Lee Rockwood, ATC

• 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 Feb 11, 2021; 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.