Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518000140 Individual Practitioner Female Practitioner

Andrea Jackson , LAC

Acupuncturist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Andrea Jackson, LAC is a registered healthcare professional specializing in Acupuncturist in Gresham, OR. Practice services are available at 33 NE KELLY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

33 Ne Kelly Ave

Gresham, OR 970307539

Telephone 5035452393
Associated Practice Facility / Clinic
🏢 Access Acupuncture Llc Facility NPI 1477710721

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 AC01036

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

6 Historical Events
NPI Profile Active July 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2011

Registered at 33 NE KELLY AVE, GRESHAM, OR 970307539 (Tel: 5035452393)

📍
Updated Business Mailing Address July 08, 2011

Registered at 2005 SE 159TH PL, VANCOUVER, WA 986834406 (Tel: 5035452393)

👤
Provider Name / Credentials Updated July 08, 2011

Recorded as ANDREA JACKSON, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2011

Acupuncturist (License #AC01036 in OR)

🟢
Initial NPI Registration & Enumeration February 14, 2007

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: 1518000140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2007
Last Update: July 08, 2011
Sole Proprietor: Yes

Mailing Address

2005 Se 159th Pl

Vancouver, WA 986834406

Phone: 5035452393

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.