Organization · NPI-2
Acorn Healing Arts, LLC
Clinic/Center, Health Services · Portland, OR
NPI number1235239203
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1235239203
- Entity type
- Organization (NPI-2)
- Legal business name
- Acorn Healing Arts, LLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | 092000262N5 | OR | Yes |
| 261Q00000X | Clinic/Center | 092000262N5 | OR |
Practice location
1616 Sw Sunset BlvdSuite E
Portland, OR 97239-2641
Phone 503-245-1459 · Fax 503-293-2023
Mailing address
704 Se Umatilla StPortland, OR 97202-6439
Phone 503-234-2285
Authorized official
Mori J Montagne
Owner/Provider
5032451459
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