IRIS ACUPUNCTURE CLINIC LLC
NPI 1063395044
Acupuncturist in Portland, OR

Active since July 28, 2025
129 NE 102ND AVE STE A, PORTLAND, OR 97220(503) 837-6655(866) 539-5513 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Iris Acupuncture Clinic Llc NPPES

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

IRIS ACUPUNCTURE CLINIC LLC (NPI 1063395044) is a healthcare organization registered as an acupuncturist in Portland, Oregon and active in the NPI registry since July 2025. The organization lists Sallie A Mckibben, Owner, Licensed Acupuncturist, as its authorized official.

NPPES Registry Identity

NPI1063395044
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameIRIS ACUPUNCTURE CLINIC LLC
Location Address129 NE 102ND AVE STE APortland, OR 97220-4102
Mailing Address11954 Ne Glisan St # 327Portland, OR 97220-2143 · (503) 837-6655 · Fax (866) 539-5513
Fax(866) 539-5513
Organization SubpartNo
Authorized OfficialSallie A MckibbenOwner, Licensed Acupuncturist · (503) 837-6655
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
NPI 1063395044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
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.
129 NE 102ND AVE STE A, Portland, OR 97220

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

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 Iris Acupuncture Clinic LLC's NPI number?

The NPI number for Iris Acupuncture Clinic LLC is 1063395044. It was assigned to this organization in the NPPES registry on July 28, 2025.

Where is Iris Acupuncture Clinic LLC located?

Iris Acupuncture Clinic LLC is located at 129 NE 102nd Ave Ste A, Portland, OR 97220. The listed phone number is (503) 837-6655.

What is Iris Acupuncture Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Iris Acupuncture Clinic LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.