OrganizationActive
Ian Wilkinson Lac
NPI 1053857482 · Preferred Provider Organization · Portland, OR
Provider details
- NPI number
- 1053857482
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Ian Wilkinson, Acupuncturist(541) 706-1888
- License
- AC179984 (OR)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(70/100 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
4829 Ne Martin Luther King Blvd
Suite 101
Portland, OR 97211-3491
Phone: (541) 706-1888
Street-level locationGet directions
Mailing address
342 Ne Morgan St
Portland, OR 97211-2934
Registry dates
- Enumerated
- 2017-01-09
- Last updated
- 2017-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.