OrganizationActive
White Phoenix Acupuncture
NPI 1417207184 · Clinic/Center · Portland, OR
Provider details
- NPI number
- 1417207184
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Allyndreth Stead, President & Ceo(503) 235-7653
Specialties & taxonomies
Ambulatory Health Care Facilities
- Acupuncturist171100000X
Other Service Providers
Profile Score
Detailed profile(79/100 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
6913 Se Foster Rd
Portland, OR 97206-4547
Phone: (503) 235-7653
Fax: (866) 398-6092
Street-level locationGet directions
Mailing address
6913 Se Foster Rd
Portland, OR 97206-4547
Registry dates
- Enumerated
- 2012-09-10
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.