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Active NPI 1083850424 Individual Practitioner Female Practitioner

Susan Vancleve , MACOM, LAC

Acupuncturist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Susan Vancleve, MACOM, LAC is a registered healthcare professional specializing in Acupuncturist in Gresham, OR. Practice services are available at 22400 SE STARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22400 Se Stark St

Gresham, OR 970302656

Telephone 5034922600
Associated Practice Facility / Clinic
🏢 Mt. Hood Vision, Inc Facility NPI 1477571149

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Gresham, OR

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

Practicing in Gresham, 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 AC01245

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.

Practice Associates & Co-Workers

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

16 Associated Practitioners
Brian Soderholm , LMT

Mechanotherapist

NPI 1053683813

Licensed Massage Therapist

Georgia Fountas , LMT

Massage Therapist

NPI 1073869707

Licensed Massage Therapist

NPI 1124241005

Licensed Massage Therapist

Dr. Maureen Sacon , DO

Neuromusculoskeletal Medicine & OMM

NPI 1205055100

Doctor of Osteopathic Medicine (D.O.)

NPI 1225557549

LMTLAC

NPI 1275177628

Doctor of Naturopathic Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2009

Registered at 22400 SE STARK ST, GRESHAM, OR 970302656 (Tel: 5034922600)

📍
Updated Business Mailing Address January 06, 2009

Registered at 22400 SE STARK ST, GRESHAM, OR 970302656

👤
Provider Name / Credentials Updated January 06, 2009

Recorded as SUSAN VANCLEVE, M.AC.O.M., L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2009

Acupuncturist (License #AC01245 in OR)

🟢
Initial NPI Registration & Enumeration January 06, 2009

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: 1083850424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2009
Last Update: January 06, 2009
Sole Proprietor: Yes

Mailing Address

22400 Se Stark St

Gresham, OR 970302656

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.