Individual provider Active NPI

Shuyi Dong, LICENSE ACUPUNCTURIS

  • Acupuncturist
  • Beaverton, OR
National Provider Identifier
1972584183
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00239 Issued in OR
Practice address
6160 SW Hall Blvd
Beaverton, OR 97008-4702
Phone
(503) 526-3936
Fax
(503) 641-3888
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00239 OR Primary

Addresses

Primary practice location

6160 SW Hall Blvd
Beaverton, OR 97008-4702

Mailing address

6160 SW Hall Blvd
Beaverton, OR 97008-4702
Phone (503) 526-3936

Other identifiers 1

IdentifierTypeStateIssuer
165705 (ND)MedicaidOR

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
AC00239ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972584183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084702",
            "telephone_number": "503-526-3936",
            "fax_number": "503-641-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084702",
            "telephone_number": "503-526-3936",
            "fax_number": "503-641-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "SHUYI",
        "credential": "LICENSE ACUPUNCTURIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165705 (ND)",
            "state": "OR"
        }
    ],
    "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 Jul 13, 2026; 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.