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MYRA THERIAULT LAC
NPI 1861864076
Acupuncturist in Portland, OR

Active since October 27, 2015
4424 NE GLISAN ST, PORTLAND, OR 97213(503) 477-5167 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Myra Theriault Lac NPPES

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

MYRA THERIAULT LAC (NPI 1861864076) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC174883) and active in the NPI registry since October 2015. She maintains a secondary practice location in Lincoln City.

NPPES Registry Identity

NPI1861864076
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameMYRA THERIAULTCredential: LAC
Location Address4424 NE GLISAN STPortland, OR 97213-2331
Mailing Address4424 Ne Glisan StPortland, OR 97213-2331 · (971) 258-0902
Phone(503) 477-5167
Sole ProprietorNo
Enumeration DateOctober 27, 2015
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 5, 2020
✔ NPI 1861864076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in OR · AC174883
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.
4424 NE GLISAN ST, Portland, OR 97213
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Secondary Practice Location 1

Location 14783 US 101Lincoln City, OR 97367 · Phone (541) 994-1819

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 19

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

CHRISTOPHER WEISS L.M.T.
Massage Therapist
4424 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 473-2914
MR. BENJAMIN LEO MARX L.AC.
Acupuncturist
4424 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 928-6728
BEAR HEART INTEGRATED BODYWORK LLC
Clinic/Center
4424 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (971) 344-3648
SOURCE INTEGRATIVE MEDICINE LLC
Acupuncturist
4424 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 928-6728
MRS. SARA SENTELL N.D., L.AC.
Naturopath
4424 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 477-5167
THE REN CLINIC
Clinic/Center (Health Service)
4424 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 805-7131
SIGNE RUTH POQUETTE ND
Naturopath
4424 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 477-5167
ABBY LEE MCHALE
Massage Therapist
4424 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 360-6953

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 Myra Theriault's NPI number?

The NPI number for Myra Theriault is 1861864076. It was assigned to this individual provider in the NPPES registry on October 27, 2015.

Where is Myra Theriault located?

Myra Theriault practices at 4424 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 477-5167.

What is Myra Theriault's specialty?

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

What insurance does Myra Theriault accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Myra Theriault 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 Myra Theriault was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.