Mountain Park Health Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00034 Issued in OR

Legal business name

MOUNTAIN PARK HEALTH CLINIC

Practice address

11030 SW Capitol Hwy
Suite 100
Portland, OR 97219-8653

Phone

(503) 892-9177

Fax

(503) 892-9177

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth H. Rifkin, N.D., L.AC.

Title

Dr.

Phone

(503) 892-8788

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881625820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 SW CAPITOL HWY",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198653",
            "telephone_number": "503-892-9177",
            "fax_number": "503-892-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 SW CAPITOL HWY",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198653",
            "telephone_number": "503-892-9177",
            "fax_number": "503-892-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PARK HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RIFKIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "503-892-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00034",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "0423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Moung-Wen, M.D.
• Eddie Mark Mounivong, MSW
• Mount Tabor Physical Therapy LLC
• Mountain Lake Wellness LLC
• Mountain Park Chiropractic PC
• Mountain Spring Health Clinic, LLC
• Mountain View Rehabilitation and Healthcare Center, LLC
• Mountainside Family Dentistry LLC
• Mountainside General Dentistry
• Mountainside Oral Surgery LLC

• 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 Sep 11, 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.