Active NPI
Mychell E Vincent, L.AC
- Acupuncturist
- Clackamas, OR
National Provider Identifier
1982658621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00408
- Practice address
- 15480 SE 82ND Dr
Clackamas, OR 97015-9633 - Phone
- (503) 656-5510
- Fax
- (503) 656-8080
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00408 | OR | Primary |
Addresses
Primary practice location
15480 SE 82ND Dr
Clackamas, OR 97015-9633
Mailing address
9205 SE Clackamas Rd
# 147
Clackamas, OR 97015-9657
Phone (503) 656-5510
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC00408 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982658621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9205 SE CLACKAMAS RD",
"address_2": "# 147",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159657",
"telephone_number": "503-656-5510",
"fax_number": "503-656-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15480 SE 82ND DR",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159633",
"telephone_number": "503-656-5510",
"fax_number": "503-656-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "MYCHELL",
"middle_name": "E",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, 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.