MACKENNA RAE MASTRUD LAC
NPI 1972243749
Acupuncturist in Portland, OR

Active since March 30, 2022
2939 SW SPRING GARDEN ST, PORTLAND, OR 97219(971) 350-9148 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenna Rae Mastrud Lac NPPES

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

MACKENNA RAE MASTRUD LAC (NPI 1972243749) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC209770) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1972243749
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameMACKENNA RAE MASTRUDCredential: LAC
Location Address2939 SW SPRING GARDEN STPortland, OR 97219-3946
Mailing Address2939 Sw Spring Garden StPortland, OR 97219-3946 · (971) 350-9148
Sole ProprietorYes
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1972243749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in OR · AC209770
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.
2939 SW SPRING GARDEN ST, Portland, OR 97219

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 Mackenna Mastrud's NPI number?

The NPI number for Mackenna Mastrud is 1972243749. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Mackenna Mastrud located?

Mackenna Mastrud practices at 2939 SW Spring Garden St, Portland, OR 97219. The listed phone number is (971) 350-9148.

What is Mackenna Mastrud'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 Mackenna Mastrud was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.