IndividualActive
Todd Wymer, LAC
NPI 1003224510 · Acupuncturist · Portland, OR
Provider details
- NPI number
- 1003224510
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AC165723 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
1330 Se Cesar E Chavez Blvd
Portland, OR 97214-4322
Phone: (503) 232-1100
Approximate (ZIP-level) locationGet directions
Mailing address
130 Se 105th Ave Apt B1
Portland, OR 97216-2955
Registry dates
- Enumerated
- 2014-07-28
- Last updated
- 2014-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.