Active NPI
Amanda Real, Lac.
- Acupuncturist
- Milwaukie, OR
National Provider Identifier
1538694229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01226
- 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, 2026
- 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
- Amanda Dawn Knapp
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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
- Milwaukie, OR
- NPI 1528212289
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.