Rebecca Dawn Groebner, DAC, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC156285 Issued in OR

Practice address

1235 SE Division St Ste 106a
Portland, OR 97202-1042

Phone

(503) 575-5499

NPI assigned

Aug 26, 2014

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

Other identifiers 2

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 and National Provider Directory roles.

• The Local Healer

  • Acupuncturist
  • Portland, OR
  • NPI 1063817450
  NPD (past) Authorized official

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1821498908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6427 NE 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113607",
            "telephone_number": "503-575-5499",
            "fax_number": "971-229-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 106A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021042",
            "telephone_number": "503-575-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROEBNER",
        "first_name": "REBECCA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DAC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC156285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1063817450",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500676108",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenna N Groat
• Amara Groberg
• Bridget Groce
• James Michael Grochala, PTA
• Nora Grod, LAC
• Sandra Marie Groesbeck
• Janice Lee Groff
• Brianne C Grogan, PT
• Lynda Burnette Grogan, PMHNP
• Markus Charles Paul Grompe, MD

• 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 30, 2023; 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.