Olivia Brooks Reynoldson, LAC, DAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

213718 Issued in OR

Practice address

2262 N Albina Ave Ste 110
Portland, OR 97227-1792

Phone

(503) 493-9389

NPI assigned

May 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Acupuncture Northwest

  • Acupuncturist
  • Portland, OR
  • NPI 1497995583
  NPD (past)

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1932898137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 N ALBINA AVE STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271792",
            "telephone_number": "503-493-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 N ALBINA AVE STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271792",
            "telephone_number": "503-493-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDSON",
        "first_name": "OLIVIA",
        "middle_name": "BROOKS",
        "credential": "LAC, DAOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "213718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Louise Reynolds, LCSW,RN
• Olivia Reynolds, PSY.D.
• Ricco Cory Reynolds, FNP-C
• Sharon Elizabeth Reynolds, MN, FNP
• Stephen M Reynolds, LCSW
• Chelsea Reynosa
• Carlos Reynoso
• Giselle Reynoso
• Shiva Rezaei
• Sophia Alexandria Rezayee, DO

• 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 May 3, 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.