KELLY LYNN BAUCUM LAC
NPI 1104284736
Acupuncturist in Portland, OR

Q: What is Kelly Baucum's NPI number?

The NPI number for Kelly Baucum is 1104284736. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Q: What is Kelly Baucum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Baucum was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 10, 2016

1809 NE 2ND AVE, PORTLAND, OR 97212(503) 683-2826 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Feb 10, 2016 (2 updates tracked since 2016).

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About Kelly Lynn Baucum Lac NPPES

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

KELLY LYNN BAUCUM LAC (NPI 1104284736) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC175542) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1104284736

Entity TypeIndividualFemale

Primary Taxonomy171100000X

Provider Legal NameKELLY LYNN BAUCUMCredential: LAC

Location Address1809 NE 2ND AVEPortland, OR 97212-3933

Mailing Address1809 Ne 2nd AvePortland, OR 97212-3933 · (503) 683-2826

Phone(503) 683-2826

Sole ProprietorNo

Enumeration DateFebruary 10, 2016

Last NPPES UpdateApril 29, 20262 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1104284736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in OR · AC175542

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.

1809 NE 2ND AVE, Portland, OR 97212

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Other Providers at the Same Location NPPES

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

GATHER COMMUNITY ACUPUNCTURE LLC

Acupuncturist

1809 NE 2ND AVE
PORTLAND, OR 97212

Multnomah County (503) 683-2826

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 Kelly Baucum's NPI number?

The NPI number for Kelly Baucum is 1104284736. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Where is Kelly Baucum located?

Kelly Baucum practices at 1809 NE 2nd Ave, Portland, OR 97212. The listed phone number is (503) 683-2826.

What is Kelly Baucum'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 Kelly Baucum was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.