Lara Pacheco Wasiutynski, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC216422 Issued in OR

Practice address

Working Class Acupuncture
3526 NE 57TH Ave
Portland, OR 97213

Phone

(503) 335-9440

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lara G Sheets Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1528846573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WORKING CLASS ACUPUNCTURE",
            "address_2": "3526 NE 57TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-335-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WORKING CLASS ACUPUNCTURE",
            "address_2": "3526 NE 57TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-335-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIUTYNSKI",
        "first_name": "LARA",
        "middle_name": "PACHECO",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC216422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "SHEETS",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriela Washington
• Haley Washington
• Kamaria Washington, PT
• Vanessa Lynn Washington, LPC
• Christopher P Washtok, MD
• Kathleen E Waskey, LCSW
• Gary Leroy Wass, LMT
• Joel D Wasserman, D.D.S.
• Sydney Rose Wasserman
• Pesha Wasserstrom

• 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 20, 2023; 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.