Yan Lu, L.AC., D.A.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00498 Issued in OR

Practice address

12778 SE Stark St.
Plaza 125, BLDG B
Portland, OR 97233

Phone

(503) 317-3113

Fax

(503) 459-4709

NPI assigned

Mar 28, 2007

Last updated

Oct 6, 2014By 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.

• Dr. Lu's Acupunture & Massage Clinic, LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1790097772
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1629197934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12778 SE STARK ST.",
            "address_2": "PLAZA 125, BLDG B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97233",
            "telephone_number": "503-317-3113",
            "fax_number": "503-459-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12778 SE STARK ST.",
            "address_2": "PLAZA 125, BLDG B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97233",
            "telephone_number": "503-317-3113",
            "fax_number": "503-459-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "YAN",
        "credential": "L.AC., D.A.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00498",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Lu
• Michelle Xiaoyi Lu, MD
• Morgan Lu
• Vivian Lu, PHARMD
• Xiaodong Lu, MD, PHD
• Zhaoxue Lu, LAC
• Zhengchun Lu, MD, PHD
• Zouyan Lu, M.D.
• Luahna Ude, PHD, PC
• Bowen Luan, PT

• 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 Oct 6, 2014; 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.