Active NPI 1598191009 Individual Practitioner Female Practitioner

Olivia M. Kellar , LAC, MACOM, LMT

Acupuncturist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Olivia Kellar, LAC, MACOM, LMT is a registered healthcare professional specializing in Acupuncturist in Portland, OR. Practice services are available at 636 SE 49TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

636 Se 49th Ave

Portland, OR 972151728

Telephone 9715064560

Associated Practice Facility / Clinic

🏢 The Golden Room Llc Facility NPI 1205172913

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Portland, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 3.0 Yrs

State Avg: 3.0 Yrs

Regional Practice Density

843 Specialists

Practicing in Portland, 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: 2022-03-04

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License TN 459

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 17162

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Obmt License Oregon Lmt

17162 (OR)

Commercial Insurance / Payer ID Licensed Acupuncturist L.ac., M.ac.o.m.

459 (TN)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Mauri Mckitrick , LMT

Contractor

NPI 1154525871

Licensed Massage Therapist

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address March 04, 2022

Registered at 210 25TH AVE N STE 521, NASHVILLE, TN 372031636 (Tel: 6156477226)

👤

Provider Name / Credentials Updated March 04, 2022

Recorded as OLIVIA KELLAR, LAC, MACOM, LMT

✅

NPI Profile Active September 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2013

Registered at 636 SE 49TH AVE, PORTLAND, OR 972151728 (Tel: 9715064560)

📍

Updated Business Mailing Address September 17, 2013

Registered at 1329 SW 14TH AVE, 501, PORTLAND, OR 972016075 (Tel: 5418081434)

👤

Provider Name / Credentials Updated September 17, 2013

Recorded as OLIVIA KELLAR, LMT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2013

Massage Therapist (License #17162 in OR)

🟢

Initial NPI Registration & Enumeration September 17, 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: 1598191009

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 17, 2013

Last Update: March 04, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

210 25th Ave N Ste 521

Nashville, TN 372031636

Phone: 6156477226

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.