ALEXIS MIRANDA BARKER LAC
NPI 1629368196
Acupuncturist in Portland, OR

Active since April 18, 2011
4929 NE 30TH AVE, ZEN SPACE HEALING, PORTLAND, OR 97211(503) 281-0681 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 8, 2021, Feb 3, 2021 (2 updates tracked since 2021).

About Alexis Miranda Barker Lac NPPES

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

ALEXIS MIRANDA BARKER LAC (NPI 1629368196) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC202639) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1629368196
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameALEXIS MIRANDA BARKERCredential: LAC
Location Address4929 NE 30TH AVE, ZEN SPACE HEALINGPortland, OR 97211
Mailing Address3125 E Burnside StPortland, OR 97214-2073 · (503) 758-9760
Sole ProprietorNo
Enumeration DateApril 18, 2011
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
NPI 1629368196 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 · AC202639
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 ListedMassage TherapistTaxonomy 225700000X · License 17304 (OR)
4929 NE 30TH AVE, Portland, OR 97211

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629368196, enumerated as an "individual" on April 18, 2011.

The provider is located at 4929 NE 30TH AVE ZEN SPACE HEALING PORTLAND, OR 97211 and the phone number is (503) 281-0681.

Acupuncturist with taxonomy code 171100000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and PacificSource Health. Please consult your insurance carrier or call the provider to verify.