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Deactivated NPI 1760260020 Deactivated / Inactive NPI Female Practitioner

Elsabeth Petersen , LAC

Acupuncturist • Vancouver, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elsabeth Petersen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 18, 2023
NPI Deactivation Date September 03, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Elsabeth Petersen, LAC was a registered Acupuncturist practicing in Vancouver, WA. Throughout an active medical career spanning 2 years, Elsabeth Petersen provided care at the practice location at 1615 SE CASCADE AVE until profile deactivation on 2025-09-03.

Practice Location & Contact Primary Location

Practice Address

1615 Se Cascade Ave

Vancouver, WA 986836443

Telephone 3606073642

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
68 Specialists

Practicing in Vancouver, WA (1531 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 AC218011

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

8 Historical Events
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NPI Profile Deactivated September 03, 2025

Record deactivated on September 03, 2025

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Updated Practice Location June 08, 2025

Registered at 516 SE CHKALOV DR STE 49, VANCOUVER, WA 986835277 (Tel: 3606073642)

NPI Profile Active September 18, 2023

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2023

Registered at 1615 SE CASCADE AVE, VANCOUVER, WA 986836443 (Tel: 3606073642)

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Updated Business Mailing Address September 18, 2023

Registered at 1615 SE CASCADE AVE, VANCOUVER, WA 986836443 (Tel: 3606073642)

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Provider Name / Credentials Updated September 18, 2023

Recorded as ELSABETH PETERSEN, LAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Acupuncturist (License #AC218011 in OR)

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Initial NPI Registration & Enumeration September 18, 2023

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: 1760260020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2023
Last Update: September 18, 2023
Deactivation Date: September 03, 2025

Mailing Address

1615 Se Cascade Ave

Vancouver, WA 986836443

Phone: 3606073642

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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