VIDHRA MAUREEN JACKIW LAC
NPI 1154724193
Acupuncturist in Portland, OR

Active since October 05, 2014
1623 SE 6TH AVE STE 200, PORTLAND, OR 97214(971) 350-8508(971) 275-1552 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vidhra Maureen Jackiw Lac NPPES

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

VIDHRA MAUREEN JACKIW LAC (NPI 1154724193) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC169857) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1154724193
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameVIDHRA MAUREEN JACKIWCredential: LAC
Location Address1623 SE 6TH AVE STE 200Portland, OR 97214-3502
Mailing Address1623 Se 6th Ave Ste 200Portland, OR 97214-3502 · (971) 350-8508 · Fax (971) 275-1552
Fax(971) 275-1552
Sole ProprietorYes
Enumeration DateOctober 5, 2014
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1154724193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in OR · AC169857
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.
1623 SE 6TH AVE STE 200, Portland, OR 97214

Other Identifiers 1

Medicaid500773023OR

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 Vidhra Jackiw's NPI number?

The NPI number for Vidhra Jackiw is 1154724193. It was assigned to this individual provider in the NPPES registry on October 5, 2014.

Where is Vidhra Jackiw located?

Vidhra Jackiw practices at 1623 SE 6th Ave Ste 200, Portland, OR 97214. The listed phone number is (971) 350-8508.

What is Vidhra Jackiw's specialty?

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

What insurance does Vidhra Jackiw accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Vidhra Jackiw 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 Vidhra Jackiw was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.