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ANCIENT FERN MEDICINE
NPI 1053763466
Acupuncturist in Portland, OR

Active since July 08, 2016
2926 NE FLANDERS ST STE 2C, PORTLAND, OR 97232(971) 227-2773(971) 275-1961 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ancient Fern Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANCIENT FERN MEDICINE (NPI 1053763466) is a healthcare organization registered as an acupuncturist in Portland, Oregon and active in the NPI registry since July 2016. The organization lists Timothy Nicholas Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1053763466
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameANCIENT FERN MEDICINE
Location Address2926 NE FLANDERS ST STE 2CPortland, OR 97232-3259
Mailing Address2926 Ne Flanders St Ste 2cPortland, OR 97232-3259 · (971) 227-2773 · Fax (971) 275-1961
Phone(971) 227-2773
Fax(971) 275-1961
Organization SubpartNo
Authorized OfficialTimothy Nicholas NelsonOwner · (971) 227-2773
Enumeration DateJuly 8, 2016
✔ NPI 1053763466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in OR · AC161759
Definition
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.
2926 NE FLANDERS ST STE 2C, Portland, OR 97232
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Other Identifiers 2

OtherAC161759OR · Oregon Medical Board
Medicaid500669071OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH NELSON
Acupuncturist
2926 NE FLANDERS ST STE 2C
PORTLAND, OR 97232
Multnomah County (417) 459-0013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ancient Fern Medicine's NPI number?

The NPI number for Ancient Fern Medicine is 1053763466. It was assigned to this organization in the NPPES registry on July 8, 2016.

Where is Ancient Fern Medicine located?

Ancient Fern Medicine is located at 2926 NE Flanders St Ste 2C, Portland, OR 97232. The listed phone number is (971) 227-2773.

What is Ancient Fern Medicine's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Ancient Fern Medicine accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Ancient Fern Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ancient Fern Medicine was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.