Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Illumination Rock Integrative Medicine, LLC

Organization Acupuncturist · NPI 1356905855

Illumination Rock Integrative Medicine, LLC is an Acupuncturist in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
6
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

4035 SE 52nd Ave Ste B
Portland, OR 97206-3913
Phone: (503) 482-7556
Fax: (971) 244-9171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Acupuncturist Taxonomy 171100000X
Naturopath Taxonomy 175F00000X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081N0008X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Massage Therapist Taxonomy 225700000X

Record details

NPI number1356905855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirsten Isakson — Managing Member · (971) 229-2140
NPI enumeratedApril 30, 2019
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022
Mailing address4035 Se 52nd Ave Ste B, Portland, OR 97206-3913

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