IndividualActive
Rebecca Provorse, ND, LAC
NPI 1508076258 · Acupuncturist · Portland, OR
Provider details
- NPI number
- 1508076258
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- ND, LAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AC00861 (OR)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Practice location
1435 Nw 23rd Ave
Suite 102
Portland, OR 97210-2642
Phone: (503) 222-1865
Fax: (866) 842-8747
Approximate (ZIP-level) locationGet directions
Mailing address
1435 Nw 23rd Ave
Portland, OR 97210-2642
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.