Individual provider Active NPI

Julie Lee, L.AC.MACOM

  • Acupuncturist
  • Beaverton, OR
National Provider Identifier
1811213978
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC150767 Issued in OR
Practice address
12655 SW Center St Ste 140
Beaverton, OR 97005-1600
Phone
(503) 756-2743
NPI assigned
Apr 14, 2010
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC150767 OR Primary

Addresses

Primary practice location

12655 SW Center St Ste 140
Beaverton, OR 97005-1600

Mailing address

4577 NW Corazon Ter
Portland, OR 97229-9395
Phone (503) 475-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC150767ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalize Acupuncture Inc. Acupuncturist PastSince Dec 21, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1811213978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 NW CORAZON TER",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299395",
            "telephone_number": "503-475-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 SW CENTER ST STE 140",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051600",
            "telephone_number": "503-756-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JULIE",
        "credential": "L.AC.MACOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.