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Active NPI 1235460494 Individual Practitioner Female Practitioner

Katelyn Decker , LAC, MACOM

Acupuncturist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Katelyn Decker, LAC, MACOM is a registered healthcare professional specializing in Acupuncturist in Gresham, OR. Practice services are available at 130 NW MILLER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 Nw Miller Ave

Gresham, OR 970307226

Telephone 5035681646
Fax 8336031296
Associated Practice Facility / Clinic

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

CMS Verified: 2021-02-04
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License OR 150593

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500650081 (OR)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Alex Pisker , LAC

Acupuncturist

NPI 1225330210

Licensed Acupuncturist

NPI 1316028509

Licensed Acupuncturist, Licensed Massage Therapist

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 04, 2021

Registered at 130 NW MILLER AVE, GRESHAM, OR 970307226 (Tel: 5035681646)

NPI Profile Active January 27, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2010

Registered at 2627 NE BROADWAY ST, PORTLAND, OR 972321720 (Tel: 9712351171)

📍
Updated Business Mailing Address January 27, 2010

Registered at 2627 NE BROADWAY ST, PORTLAND, OR 972321720 (Tel: 9712351171)

👤
Provider Name / Credentials Updated January 27, 2010

Recorded as KATELYN DECKER, L.AC., M.AC.O.M.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2010

Acupuncturist (License #150593 in OR)

🟢
Initial NPI Registration & Enumeration January 27, 2010

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: 1235460494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2010
Last Update: February 04, 2021
Sole Proprietor: Yes

Mailing Address

2627 Ne Broadway St

Portland, OR 972321720

Phone: 9712351171

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.