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Deactivated NPI 1760451710 Deactivated / Inactive NPI Male Practitioner

Edward Ildoe Bae , L AC

Acupuncturist • Beaverton, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Edward Bae has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 14, 2006
NPI Deactivation Date June 27, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Edward Bae, L AC was a registered Acupuncturist practicing in Beaverton, OR. Throughout an active medical career spanning 12 years, Edward Bae provided care at the practice location at 13755 SW FARMINGTON RD until profile deactivation on 2018-06-27.

Practice Location & Contact Primary Location

Practice Address

13755 Sw Farmington Rd

Beaverton, OR 970052603

Telephone 5036463743
Fax 5036465200
Associated Practice Facility / Clinic
🏢 Edward Ildoe Bae Facility NPI 1801226527

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Beaverton, OR (1579 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License OR AC00115

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 27, 2018

Record deactivated on June 27, 2018

NPI Profile Active December 18, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 18, 2013

Registered at 13755 SW FARMINGTON RD, BEAVERTON, OR 970052603 (Tel: 5036463743)

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Updated Business Mailing Address December 18, 2013

Registered at 13755 SW FARMINGTON RD, BEAVERTON, OR 970052603 (Tel: 5036463743)

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Provider Name / Credentials Updated December 18, 2013

Recorded as EDWARD BAE, L AC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2013

Acupuncturist (License #AC00115 in OR)

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Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760451710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: December 18, 2013
Deactivation Date: June 27, 2018

Mailing Address

13755 Sw Farmington Rd

Beaverton, OR 970052603

Phone: 5036463743

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.