Organization Active NPI

Amanda Real, Lac.

  • Acupuncturist
  • Milwaukie, OR
National Provider Identifier
1538694229
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01226 Issued in OR
Legal business name
AMANDA REAL, LAC.
Practice address
4141 SE Harrison St
Milwaukie, OR 97222-5859
Phone
(503) 560-0963
Fax
(503) 914-4210
NPI assigned
May 1, 2017
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Amanda Dawn KnappNPI 1528212289
Title
Owner/ Provider
Phone
(503) 560-0963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01226 OR Primary

Addresses

Primary practice location

4141 SE Harrison St
Milwaukie, OR 97222-5859

Mailing address

15037 SE East Ave
Oak Grove, OR 97267-2803
Phone (503) 560-0963

Other names 1

  • Amanda Dawn Real Other name

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1538694229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15037 SE EAST AVE",
            "city": "OAK GROVE",
            "state": "OR",
            "postal_code": "972672803",
            "telephone_number": "503-560-0963",
            "fax_number": "503-914-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SE HARRISON ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225859",
            "telephone_number": "503-560-0963",
            "fax_number": "503-914-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA REAL, LAC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "503-560-0963"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Dawn Real",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.