Active NPI
Stumptown Acupuncture LLC
- Acupuncturist
- Portland, OR
National Provider Identifier
1407641574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- STUMPTOWN ACUPUNCTURE LLC
- Practice address
- 1110 SE Alder St Ste 110
Portland, OR 97214-2400 - Phone
- (971) 417-6205
- NPI assigned
- Apr 10, 2025
- Last updated
- Apr 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Sasao-Ruef, LAC
- Title
- Owner/Provider
- Phone
- (971) 417-6205
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
1110 SE Alder St Ste 110
Portland, OR 97214-2400
Mailing address
1110 SE Alder St Ste 110
Portland, OR 97214-2400
Phone (971) 417-6205
National Provider Directory
National Provider DirectoryLocations
1110 SE Alder St
Ste 110
Portland, OR 97214
Phone (971) 417-6205
Practitioners & affiliated clinicians
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.
-
- Acupuncturist
- Portland, OR
- NPI 1528643657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745193600000",
"number": "1407641574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 SE ALDER ST STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142400",
"telephone_number": "971-417-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 SE ALDER ST STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142400",
"telephone_number": "971-417-6205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUMPTOWN ACUPUNCTURE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-10",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A",
"authorized_official_last_name": "SASAO-RUEF",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "971-417-6205",
"authorized_official_credential": "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 Apr 21, 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.