MS. SALLIE ANN MCKIBBEN LAC
NPI 1124439492
Acupuncturist in Portland, OR

Active since May 08, 2014
5939 SE BELMONT ST STE C, PORTLAND, OR 97215(503) 468-7210(503) 468-5943 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Sallie Ann Mckibben Lac NPPES

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

MS. SALLIE ANN MCKIBBEN LAC (NPI 1124439492) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC164979) and active in the NPI registry since May 2014. She maintains a secondary practice location in Happy Valley.

NPPES Registry Identity

NPI1124439492
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameMS. SALLIE ANN MCKIBBENCredential: LAC
Location Address5939 SE BELMONT ST STE CPortland, OR 97215-1994
Mailing Address5939 Se Belmont St Ste CPortland, OR 97215-1994 · (503) 468-7210 · Fax (503) 468-5943
Fax(503) 468-5943
Sole ProprietorYes
Enumeration DateMay 8, 2014
Last NPPES UpdateJuly 30, 2018
NPI 1124439492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in OR · AC164979
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.

5939 SE BELMONT ST STE C, Portland, OR 97215

Secondary Practice Location 1

Location 116144 SE Happy Valley Town Center Dr, Suite 214Happy Valley, OR 97086-4257 · Phone (503) 658-7715 · Fax (503) 658-7181

Other Identifiers 1

Medicaid500696042OR

Accepted Insurance

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 Sallie Mckibben's NPI number?

The NPI number for Sallie Mckibben is 1124439492. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Where is Sallie Mckibben located?

Sallie Mckibben practices at 5939 SE Belmont St Ste C, Portland, OR 97215. The listed phone number is (503) 468-7210.

What is Sallie Mckibben's specialty?

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

What insurance does Sallie Mckibben accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Sallie Mckibben 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 Sallie Mckibben was last updated on July 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.