Organization Active NPI

Moonlight Acupuncture LLC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1437008380
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MOONLIGHT ACUPUNCTURE LLC
Practice address
2505 NE Pacific St
Portland, OR 97232-2332
Phone
(661) 747-8569
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Julian McEnroe, LA.CNPI 1003679499
Title
Ceo
Phone
(661) 747-8569

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

2505 NE Pacific St
Portland, OR 97232-2332

Mailing address

4817 N Michigan Ave
Portland, OR 97217-3128
Phone (661) 747-8569

National Provider Directory

National Provider Directory

Locations

2505 NE Pacific St
Portland, OR 97232
Phone (661) 747-8569

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": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1437008380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 N MICHIGAN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972173128",
            "telephone_number": "661-747-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NE PACIFIC ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322332",
            "telephone_number": "661-747-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "MCENROE",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-747-8569",
        "authorized_official_credential": "LA.C"
    },
    "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 Jan 23, 2026; 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.