Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Form Health LLC

Organization Acupuncturist · NPI 1265605364

Form Health LLC is an Acupuncturist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8113 SE 13th Ave
Portland, OR 97202-6607
Phone: (503) 232-5653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 1517 (OR)
Acupuncturist Taxonomy 171100000X · Licence AC01027 (OR)

Record details

NPI number1265605364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Minarik — Owner · (503) 232-5653
NPI enumeratedApril 9, 2008
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address8113 Se 13th Ave, Portland, OR 97202-6607

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