Individual provider Active NPI

Tiffany Dawn Prado, DACM, L.AC.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1972848943
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC156830 Issued in OR
Practice address
224 S Hamilton St Ste 100
Portland, OR 97239-4784
Phone
(971) 225-0333
Fax
(888) 958-3064
NPI assigned
Dec 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 AC156830 OR Primary

Addresses

Primary practice location

224 S Hamilton St Ste 100
Portland, OR 97239-4784

Mailing address

224 S Hamilton St Ste 100
Portland, OR 97239-4784
Phone (971) 225-0333

Other practice location 1

1217 NE Burnside Rd Ste 301
Gresham, OR 97030-5705
Phone (503) 492-2625

Other practice location 2

306 Oak St
Silverton, OR 97381-1719
Phone (503) 874-4067

Other names 1

  • Tiffany Dawn Christian Former name

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
AC156830ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Health & Injury Clinic, PC Acupuncturist PastSince May 27, 2015 Accepting new patients
White Oak Wellness LLC Acupuncturist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1972848943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S HAMILTON ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394784",
            "telephone_number": "971-225-0333",
            "fax_number": "888-958-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S HAMILTON ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394784",
            "telephone_number": "971-225-0333",
            "fax_number": "888-958-3064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 NE Burnside Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305705",
            "country_code": "US",
            "telephone_number": "503-492-2625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Oak St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811719",
            "country_code": "US",
            "telephone_number": "503-874-4067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADO",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC156830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "CHRISTIAN",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.