Justin Yohalem Ilsley, ND

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00836 Issued in OR

Practice address

4631 N Albina Ave
Portland, OR 97217-3011

Phone

(503) 282-5358

Fax

(503) 735-3777

NPI assigned

Aug 17, 2006

Last updated

Sep 11, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mississippi Health Center Medicinay LLC

  • Naturopath
  • Portland, OR
  • NPI 1174747943

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1477666907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 N HODGE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033457",
            "telephone_number": "503-735-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N ALBINA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972173011",
            "telephone_number": "503-282-5358",
            "fax_number": "503-735-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILSLEY",
        "first_name": "JUSTIN",
        "middle_name": "YOHALEM",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00836",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illumination Counseling LLC
• Illumination Rock Integrative Medicine, LLC
• Marissa Ilnitzki
• Sandra Iloka, M.D.
• Kelly Ann Ilseman, MACOM, MS, MED
• Jin Seon Im, M.D.
• Soobin Im
• Imagine If Psychotherapy LLC
• Imagine Life Counseling and Consultation, LLC.
• Akira Imai, LMT

• 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.