IndividualActive
Matt Vaccaro, LA.C
NPI 1962919415 · Acupuncturist · Sutherlin, OR
Provider details
- NPI number
- 1962919415
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- LA.C
- Sex
- Male
- Sole proprietor
- No
- License
- 185911 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
110 S. State St
Sutherlin, OR 97479
Phone: (541) 459-7410
Fax: (541) 229-9987
Street-level locationGet directions
Mailing address
110 S. State St
Sutherlin, OR 97479
Registry dates
- Enumerated
- 2018-01-05
- Last updated
- 2020-03-09
- Certified
- 2020-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.