OrganizationActive
Mountain Lake Wellness LLC
NPI 1841545092 · Acupuncturist · Portland, OR
Mountain Lake Wellness LLC is a Acupuncturist organization in Portland, OR (NPI 1841545092).
Provider details
- NPI number
- 1841545092
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Leslie Huddart, Owner(503) 828-3050
- License
- AC153196 (OR)
Specialties & taxonomies
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
2442 Se 101st Ave
Suite 308
Portland, OR 97216-3060
Phone: (503) 828-3050
Street-level locationGet directions
Mailing address
2442 Se 101st Ave
Portland, OR 97216-3060
Registry dates
- Enumerated
- 2012-07-13
- Last updated
- 2012-07-13
Frequently asked questions
- What is Mountain Lake Wellness LLC's NPI number?
- Mountain Lake Wellness LLC's National Provider Identifier (NPI) is 1841545092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Lake Wellness LLC?
- Mountain Lake Wellness LLC is classified in the NPPES registry as Acupuncturist (Other Service Providers).
- Where is Mountain Lake Wellness LLC located?
- Mountain Lake Wellness LLC's practice location on file with NPPES is 2442 Se 101st Ave, Portland, OR 97216-3060.
- What is Mountain Lake Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain Lake Wellness LLC is (503) 828-3050.
- Who is the authorized official for Mountain Lake Wellness LLC?
- The authorized official listed on Mountain Lake Wellness LLC's NPPES record is Leslie Huddart, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Lake Wellness LLC's NPI active?
- Yes — Mountain Lake Wellness LLC's NPI (1841545092) is active in the NPPES registry as of the last update on 2012-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.