1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Acupuncturist
  6. NPI Profile

MR. JASON RICHARD COSTELLO LAC
NPI 1407997679
Acupuncturist in Portland, OR

Active since February 09, 2007
909 SW 12TH AVE., 111, PORTLAND, OR 97205(310) 993-9429 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jason Richard Costello Lac NPPES

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

MR. JASON RICHARD COSTELLO LAC (NPI 1407997679) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC00987) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1407997679
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameMR. JASON RICHARD COSTELLOCredential: LAC
Location Address909 SW 12TH AVE., 111Portland, OR 97205-2070
Mailing Address909 Sw 12th Ave., 111Portland, OR 97205-2070 · (310) 993-9429
Phone(310) 993-9429
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407997679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in OR · AC00987
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.
909 SW 12TH AVE., Portland, OR 97205
Open in Google Maps ↗

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 Jason Costello's NPI number?

The NPI number for Jason Costello is 1407997679. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Jason Costello located?

Jason Costello practices at 909 SW 12th Ave. 111, Portland, OR 97205. The listed phone number is (310) 993-9429.

What is Jason Costello'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 Jason Costello was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.