Elizabeth Baum
Individual provider Active NPI Acupuncturist · Portland, OR
NPI 1730924945 · NPPES record last updated Jun 28, 2024
Key facts
- NPI
- 1730924945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC220845 (OR)
- Practice address
- 7642 SW Capitol Hwy
Portland, OR 97219-2437 - Phone
- (971) 228-5939
- NPI assigned
- Jun 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC220845 | OR | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC220845 | OR | Yes |
Addresses
Primary practice location
7642 SW Capitol Hwy
Portland, OR 97219-2437
Mailing address
9322 N Charleston Ave
Portland, OR 97203-2204
Phone (510) 866-8918
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.