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Olivia M. Kellar , LAC, MACOM, LMT

Acupuncturist β€’ Portland, OR

Active NPI 1598191009 Individual Practitioner Female Practitioner
Practice location in NPPES

636 Se 49th Ave
Portland, OR 972151728

Call 9715064560 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

636 Se 49th Ave

Portland, OR 972151728

Telephone 9715064560
Organization at the Same NPPES Address or Phone
The Golden Room Llc Facility NPI 1205172913

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Portland and Oregon

821 active clinicians are listed under Acupuncturist with a practice address in Portland, OR (1,543 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Portland

0% of these 821 clinicians have the CMS telehealth indicator.

0% of these 821 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-04
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES TN 459

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.

Massage Therapist

NUCC Taxonomy Code: 225700000X

License # reported to NPPES OR 17162

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Obmt License Oregon Lmt
17162 (OR)
Other Identifier Licensed Acupuncturist L.ac., M.ac.o.m.
459 (TN)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address March 04, 2022

Registered at 210 25TH AVE N STE 521, NASHVILLE, TN 372031636 (Tel: 6156477226)

πŸ‘€
Provider Name / Credentials Updated March 04, 2022

Recorded as OLIVIA KELLAR, LAC, MACOM, LMT

βœ…
NPI Profile Active September 17, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 17, 2013

Registered at 636 SE 49TH AVE, PORTLAND, OR 972151728 (Tel: 9715064560)

πŸ“
Business Mailing Address (Initial Record) September 17, 2013

Registered at 1329 SW 14TH AVE, 501, PORTLAND, OR 972016075 (Tel: 5418081434)

πŸ‘€
Provider Name / Credentials (Initial Record) September 17, 2013

Recorded as OLIVIA KELLAR, LMT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2013

Massage Therapist (license number reported to NPPES: OR 17162)

🟒
Initial NPI Registration & Enumeration September 17, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598191009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2013
Last Update: March 04, 2022
Sole Proprietor: Yes

Other Acupuncturists in Portland

All Acupuncturists in Portland

Mailing Address

210 25th Ave N Ste 521

Nashville, TN 372031636

Phone: 6156477226

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.