OrganizationActive
Sundara Acupuncture LLC
NPI 1154661163 · Medical Specialty Clinic/Center · Beaverton, OR
Provider details
- NPI number
- 1154661163
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phavixay Sundara, Acupunturist(503) 382-7179
- License
- AC151174 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
17175 Sw Lisa St
Beaverton, OR 97006-4185
Phone: (503) 382-7179
Street-level locationGet directions
Mailing address
17175 Sw Lisa St
Beaverton, OR 97006-4185
Registry dates
- Enumerated
- 2013-02-28
- Last updated
- 2013-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.