IndividualActive
Myra Theriault, LAC
NPI 1861864076 · Acupuncturist · Portland, OR
Provider details
- NPI number
- 1861864076
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- License
- AC174883 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
4424 Ne Glisan St
Portland, OR 97213-2331
Phone: (503) 477-5167
Street-level locationGet directions
Mailing address
4424 Ne Glisan St
Portland, OR 97213-2331
Additional practice locations (1)
- 4783 US 101Lincoln City, OR 97367Phone: (541) 994-1819
Registry dates
- Enumerated
- 2015-10-27
- Last updated
- 2020-12-07
- Certified
- 2020-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.