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

Mountain Lake Wellness LLC

Organization Acupuncturist · NPI 1841545092

Mountain Lake Wellness LLC is an Acupuncturist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
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

2442 SE 101st Ave Ste 308
Portland, OR 97216-3060
Phone: (503) 828-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC153196 (OR)

Record details

NPI number1841545092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Huddart — Owner · (503) 828-3050
NPI enumeratedJuly 13, 2012
Last updated in NPPESJuly 13, 2012
Mailing address2442 Se 101st Ave, Suite 308, Portland, OR 97216-3060

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