Rebecca Ladizhensky, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

174749 Issued in OR

Practice address

1971 NW Overton St
Portland, OR 97209-1618

Phone

(971) 302-6176

Fax

(971) 373-5946

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Mend PDX LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1467161455
  NPD Authorized official

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1609247899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 SE 32ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023428",
            "telephone_number": "415-690-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 NW OVERTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091618",
            "telephone_number": "971-302-6176",
            "fax_number": "971-373-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADIZHENSKY",
        "first_name": "REBECCA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "174749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Lacy
• Kai Lada
• Kristy Ladd
• Elizabeth Mary Ladeaux
• Alexa Ladiges, PA-C
• Rand Ladkany, M.D.
• J'Querian Ty'Rhe Ladson
• Robert Ladu
• Jacqueline Ladue, MA
• Suzanne Denise Lady, DC

• 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 Mar 24, 2022; 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.