DR. REBECCA L PROVORSE ND, LAC
NPI 1508076258
Acupuncturist in Portland, OR

Active since May 23, 2007
1435 NW 23RD AVE, SUITE 102, PORTLAND, OR 97210(503) 222-1865(866) 842-8747 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rebecca L Provorse Nd, Lac NPPES

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

DR. REBECCA L PROVORSE ND, LAC (NPI 1508076258) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC00861) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1508076258
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameDR. REBECCA L PROVORSECredential: ND, LAC
Location Address1435 NW 23RD AVE, SUITE 102Portland, OR 97210-2642
Mailing Address1435 Nw 23rd Ave, Suite 102Portland, OR 97210-2642 · (503) 222-1865 · Fax (866) 842-8747
Fax(866) 842-8747
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1508076258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in OR · AC00861
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.
Also ListedNaturopathTaxonomy 175F00000X · License 1375 (OR)
1435 NW 23RD AVE, Portland, OR 97210

Other Providers at the Same Location NPPES 2

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

Naturopath
1435 NW 23RD AVE, STE 100
PORTLAND, OR 97210
Massage Therapist
1435 NW 23RD AVE
PORTLAND, OR 97210

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 Rebecca Provorse's NPI number?

The NPI number for Rebecca Provorse is 1508076258. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Rebecca Provorse located?

Rebecca Provorse practices at 1435 NW 23rd Ave Suite 102, Portland, OR 97210. The listed phone number is (503) 222-1865.

What is Rebecca Provorse'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 Rebecca Provorse was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.