Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639633985 Individual Practitioner Female Practitioner

Jennifer Rose Peterson , LAC

Acupuncturist • Corbett, OR

Professional Overview & Biography Verified Profile Summary

Jennifer Peterson, LAC is a registered healthcare professional specializing in Acupuncturist in Corbett, OR. Practice services are available at 39420 SE GORDON CREEK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

39420 Se Gordon Creek Rd

Corbett, OR 970198750

Telephone 5036952977
Associated Practice Facility / Clinic
🏢 Hai Shan Center Inc Facility NPI 1639367899

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Corbett, OR

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

Practicing in Corbett, 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 AC189963

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.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License OR 20187

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1093469561
NPI 1154699809

Licensed Acupuncturist

NPI 1396138152

Licensed Acupuncturist

Anamaria Evangelou

Acupuncturist

NPI 1487532891
NPI 1497999726

Doctor of Naturopathic Medicine, MSOM, Licensed Acupuncturist

Megan Wirth

Acupuncturist

NPI 1508507153

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2019

Registered at 39420 SE GORDON CREEK RD, CORBETT, OR 970198750 (Tel: 5036952977)

📍
Updated Business Mailing Address January 30, 2019

Registered at 4536 NE 30TH AVE, PORTLAND, OR 972117136 (Tel: 5033473380)

👤
Provider Name / Credentials Updated January 30, 2019

Recorded as JENNIFER PETERSON, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Acupuncturist (License #AC189963 in OR)

🟢
Initial NPI Registration & Enumeration January 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639633985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2019
Last Update: January 30, 2019
Sole Proprietor: No

Mailing Address

4536 Ne 30th Ave

Portland, OR 972117136

Phone: 5033473380

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.