OrganizationActive
Ancient Fern Medicine
NPI 1053763466 · Acupuncturist · Portland, OR
Provider details
- NPI number
- 1053763466
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Nelson, Owner(971) 227-2773
- License
- AC161759 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2926 Ne Flanders St Ste 2c
Portland, OR 97232-3259
Phone: (971) 227-2773
Fax: (971) 275-1961
Street-level locationGet directions
Mailing address
2926 Ne Flanders St Ste 2c
Portland, OR 97232-3259
Registry dates
- Enumerated
- 2016-07-08
- Last updated
- 2016-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.