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Active NPI 1790026821 Individual Practitioner Male Practitioner

Tiodoso Bear Bustillo , LAC

Acupuncturist • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Tiodoso Bustillo, LAC is a registered healthcare professional specializing in Acupuncturist in Eugene, OR. Practice services are available at 401 E 10TH AVE STE 260 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 E 10th Ave Ste 260

Eugene, OR 974013362

Telephone 5416004326

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Eugene, OR

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

Practicing in Eugene, 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

CMS Verified: 2025-10-27
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License OR AC217881

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.

Acupuncturist

NUCC Taxonomy Code: 171100000X

State License TX AC01358

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.

Secondary Practice Locations

300 University Blvd Bldg A

Round Rock, TX 786651032

Phone: 5125090200

10601 Pecan Park Blvd, Building 3, Suite 302

Austin, TX 787501302

Phone: 5129707032

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 27, 2025

Registered at 401 E 10TH AVE STE 260, EUGENE, OR 974013362 (Tel: 5416004326)

📍
Updated Business Mailing Address October 27, 2025

Registered at 3524 GOODPASTURE LOOP APT 304, EUGENE, OR 974011615 (Tel: 5129707032)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2025

Acupuncturist (License #AC217881 in OR)

📍
Updated Practice Location December 02, 2021

Registered at 300 UNIVERSITY BLVD BLDG A, ROUND ROCK, TX 786651032 (Tel: 5125090200)

📍
Updated Business Mailing Address December 02, 2021

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547242111)

NPI Profile Active March 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2013

Registered at 10601 PECAN PARK BLVD, BUILDING 3, SUITE 302, AUSTIN, TX 787501302 (Tel: 5129707032)

📍
Updated Business Mailing Address March 14, 2013

Registered at 10601 PECAN PARK BLVD, BUILDING 3, SUITE 302, AUSTIN, TX 787501302 (Tel: 5129707032)

👤
Provider Name / Credentials Updated March 14, 2013

Recorded as TIODOSO BUSTILLO, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2013

Acupuncturist (License #AC01358 in TX)

🟢
Initial NPI Registration & Enumeration March 14, 2013

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: 1790026821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2013
Last Update: October 27, 2025
Sole Proprietor: Yes

Mailing Address

3524 Goodpasture Loop Apt 304

Eugene, OR 974011615

Phone: 5129707032

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.