MS. KAECEE CREVELING


Address: 1615 Nw 23rd Ave, Suite 1, Portland, OR 97210-2557
Phone: 2069108765

MS. KAECEE CREVELING (NPI# 1700123809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700123809
Entity Type Individual
Full Name MS. KAECEE CREVELING
Credential L.AC., MACOM
Practice Address 1615 Nw 23rd Ave
Suite 1
Portland
OR 97210-2557
Mailing Address 2214 Ne 79th Ave
Portland
OR 97213-6618
Practice Telephone 2069108765
Mailing Telephone 2069108765
Enumeration Date 2013-01-09
Last Update Date 2013-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171100000X Acupuncturist AC60322012 WA Other Service Providers
Y 171100000X Acupuncturist AC160521 OR Other Service Providers

Office Location

Street Address 1615 NW 23RD AVE
SUITE 1
City PORTLAND
State OR
Zip Code 97210-2557

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801844568 Karen B Kelsall Chiropractor 1615 Nw 23rd Ave, Suite 2, Portland, OR 97210-2557 2006-05-05
1851887962 Scott Smith Massage Therapist 1615 Nw 23rd Ave, Portland, OR 97210-2557 2018-07-02
1427566314 Fiona Yun Massage Therapist 1615 Nw 23rd Ave, Portland, OR 97210-2557 2018-01-13
1063674679 Kelsall Chiropractic Clinic PC Chiropractor 1615 Nw 23rd Ave, Suite 2, Portland, OR 97210-2563 2008-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
1659829836 H&s Pearl, LLC Massage Therapist 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 2016-09-15
1255785796 Cortez Natural Medicine, Inc. Acupuncturist 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 2016-04-21
1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
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Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669073490 Krista Marie Obenlock Acupuncturist 2408 N Baldwin St, Portland, OR 97217-6404 2020-11-06
1841897550 Woven Wellness LLC Acupuncturist 6511 N Interstate Ave, Portland, OR 97217-4835 2020-10-06
1518571322 Charisse Renee Squires Acupuncturist 1804 Se Oak St, Portland, OR 97214-1538 2020-08-31
1659989069 Touchet Acupuncture Acupuncturist 4605 Ne Fremont St Ste 204a, Portland, OR 97213-1715 2020-07-22
1417571480 Dragon Rises Center for Wholeness Acupuncturist 4852 Sw Scholls Ferry Rd, Portland, OR 97225-1698 2020-06-04
1972126191 Acupuncture By Maya Martinez LLC Acupuncturist 12732 Se Stark St Bldg G, Portland, OR 97233-1539 2020-05-21
1437771854 Hannah Grice Acupuncturist 11750 Sw Barnes Rd Ste 240, Portland, OR 97225-5911 2020-05-07
1164043022 Michelle Yan Acupuncturist 2855 Nw Thurman St, Portland, OR 97210-2206 2020-05-01
1174144562 Dean Mcnash Acupuncturist 2222 Se Woodward St, Portland, OR 97202-2157 2020-04-27
1205456548 Zev J Alpert Acupuncturist 3150 Sw Bertha Blvd Apt 11, Portland, OR 97239-1181 2020-04-16
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Competitor

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City PORTLAND
Zip Code 97210

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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