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MOUNTAIN LAKE WELLNESS LLC
NPI 1841545092
Acupuncturist in Portland, OR

Active since July 13, 2012
2442 SE 101ST AVE, SUITE 308, PORTLAND, OR 97216(503) 828-3050 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Lake Wellness Llc NPPES

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

MOUNTAIN LAKE WELLNESS LLC (NPI 1841545092) is a healthcare organization registered as an acupuncturist in Portland, Oregon and active in the NPI registry since July 2012. The organization lists Leslie Huddart, Owner, as its authorized official.

NPPES Registry Identity

NPI1841545092
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameMOUNTAIN LAKE WELLNESS LLC
Location Address2442 SE 101ST AVE, SUITE 308Portland, OR 97216-3060
Mailing Address2442 Se 101st Ave, Suite 308Portland, OR 97216-3060 · (503) 828-3050
Phone(503) 828-3050
Organization SubpartNo
Authorized OfficialLeslie HuddartOwner · (503) 828-3050
Enumeration DateJuly 13, 2012
✔ NPI 1841545092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in OR · AC153196
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.
2442 SE 101ST AVE, Portland, OR 97216
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

DEBORAH Y THOMAS LMT
Technician, Other
2442 SE 101ST AVE, SUITE 206
PORTLAND, OR 97216
Multnomah County (503) 254-7713
MR. RICHARD C POWERS FNP
Nurse Practitioner
2442 SE 101ST AVE, SUITE 104
PORTLAND, OR 97216
Multnomah County (503) 255-3823
DR. SHUFANG AMY LAI DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
2442 SE 101ST AVE, SUITE 303
PORTLAND, OR 97216
Multnomah County (503) 253-7579
CURITA FAMILY HEALTH CLINIC
Clinic/Center (Health Service)
2442 SE 101ST AVE, SUITE 104
PORTLAND, OR 97216
Multnomah County (503) 255-3823
STEPHANIE MARTINEZ
Peer Specialist
2442 SE 101ST AVE
PORTLAND, OR 97216
Multnomah County (786) 930-1446
DENNIS HERMAN EATON P.T.
Physical Therapist
2442 SE 101ST AVE, SUITE 307
PORTLAND, OR 97216
Multnomah County (503) 235-5500
MISS TANNEKE ZOE OLUND LMT
Massage Therapist
2442 SE 101ST AVE
PORTLAND, OR 97216
Multnomah County (503) 254-7713
DR. LAWRENCE TIMOTHY SELLERS DC DACBR
Chiropractor (Radiology)
2442 SE 101ST AVE, STE 103
PORTLAND, OR 97216
Multnomah County (503) 257-2888

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 Mountain Lake Wellness LLC's NPI number?

The NPI number for Mountain Lake Wellness LLC is 1841545092. It was assigned to this organization in the NPPES registry on July 13, 2012.

Where is Mountain Lake Wellness LLC located?

Mountain Lake Wellness LLC is located at 2442 SE 101st Ave Suite 308, Portland, OR 97216. The listed phone number is (503) 828-3050.

What is Mountain Lake Wellness LLC'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 Mountain Lake Wellness LLC was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.