Illumination Rock Integrative Medicine, LLC
NPI 1356905855 · Clinic/Center · Portland, OR
Illumination Rock Integrative Medicine, LLC is a Clinic/Center organization in Portland, OR (NPI 1356905855).
Provider details
- NPI number
- 1356905855
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kirsten Isakson, Managing Member(971) 229-2140
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
- Acupuncturist171100000X
Other Service Providers
- Naturopath175F00000X
Other Service Providers
Allopathic & Osteopathic Physicians
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-04-30
- Last updated
- 2022-03-30
- Certified
- 2022-03-30
Frequently asked questions
- What is Illumination Rock Integrative Medicine, LLC's NPI number?
- Illumination Rock Integrative Medicine, LLC's National Provider Identifier (NPI) is 1356905855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illumination Rock Integrative Medicine, LLC?
- Illumination Rock Integrative Medicine, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Illumination Rock Integrative Medicine, LLC located?
- Illumination Rock Integrative Medicine, LLC's practice location on file with NPPES is 4035 Se 52nd Ave Ste B, Portland, OR 97206-3913.
- What is Illumination Rock Integrative Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Illumination Rock Integrative Medicine, LLC is (503) 482-7556.
- Who is the authorized official for Illumination Rock Integrative Medicine, LLC?
- The authorized official listed on Illumination Rock Integrative Medicine, LLC's NPPES record is Kirsten Isakson, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illumination Rock Integrative Medicine, LLC's NPI active?
- Yes — Illumination Rock Integrative Medicine, LLC's NPI (1356905855) is active in the NPPES registry as of the last update on 2022-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.